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

Nutrisource Nutritional Services

Organization Registered Dietitian · NPI 1285869974

Nutrisource Nutritional Services is a Registered Dietitian in Brunswick, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

3226 Hampton Ave Ste F
Brunswick, GA 31520-4252
Phone: (912) 222-7755
Fax: (912) 264-4071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD002579 (GA)

Record details

NPI number1285869974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Giczewski — Owner · (912) 222-7755
NPI enumeratedMay 25, 2009
Last updated in NPPESMay 25, 2009
Mailing address620 Sea Island Rd, Pmb 273, St Simons Island, GA 31522-1767

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