Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

North Georgia Nutrition and Wellness LLC

Organization Registered Dietitian · NPI 1184039935

North Georgia Nutrition and Wellness LLC is a Registered Dietitian in Dacula, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667
Phone: (770) 718-6736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD001208 (GA)

Record details

NPI number1184039935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Davis — President · (770) 718-6736
NPI enumeratedJune 30, 2014
Last updated in NPPESJune 30, 2014
Mailing address2709 Legislative Ln, Buford, GA 30519-8037

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