Northeast Georgia Physicians Group
Northeast Georgia Physicians Group is a Registered Dietitian in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2016.
- Licensed in
- GA
- In the registry since
- 2016
Practice location Address checks out
1075 Jesse Jewell PkwyGainesville, GA 30501
Phone: (770) 219-9209
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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 LD004565 (GA) |
|---|
Record details
| NPI number | 1164885620 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Way — Dietitian · (770) 219-9209 |
| NPI enumerated | April 1, 2016 |
| Last updated in NPPES | April 1, 2016 |
| Mailing address | 1075 Jesse Jewell Pkwy, Gainesville, GA 30501 |
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Misty Clackum Nutrition LLC
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Amy N Roark, LD
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Virginia Spain Thomas, RDN, LD, CLC
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Jennifer Way, RD, LD
1075 Jesse Jewell Pkwy NE Ste B, Gainesville, GA 30501-3814 · (770) 219-9209