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

Jack Burton, RD

Individual provider Registered Dietitian · NPI 1649992355

Jack Burton, RD is a Registered Dietitian in Fort Moore, Georgia. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (202) 939-2577
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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 2804 (SC)

Record details

NPI number1649992355
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address6600 Van Aalst Blvd, Fort Moore, GA 31905-2102

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