Envision Nutrition Inc.

NPI 1093036253 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093036253
Enumeration Date 06/22/2010
Last Updated 06/22/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DONNA P DONNA
Position EXECUTIVE DIRECTOR
Phone (404) 797-0528
Fax
Practice Location
1922 HIGHWAY 74 N
SUITE D
TYRONE GA, 30290-1660, US
Phone (404) 797-0528
Fax
Business Location
1922 HIGHWAY 74 N
SUITE D
TYRONE GA, 30290-1660, US
Phone (404) 797-0528
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Georgia
License Number LD00262
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According to our database, Envision Nutrition Inc. NPI is 1093036253, taxonomy code is 133V00000X and license number is LD00262, license state is located at Georgia. Envision Nutrition Inc. physically located at 1922 Highway 74 N, Tyrone GA, 30290-1660. NPI Number 1033115704 has the healthcare provider type.

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1093036253 NPI number is provided on an as is basis without warranty of any kind. 1093036253 is maintained by the National Plan & Provider Enumeration System. The contents of Envision Nutrition Inc. are for informational purposes only.