Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Louise Slullivan, RD, LD, MA

Individual provider Registered Dietitian · NPI 1932329646

Mary Louise Slullivan, RD, LD, MA is a Registered Dietitian in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2361 Tobacco Rd
Augusta, GA 30906-9220
Phone: (706) 793-4401
Fax: (706) 790-4372
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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 LD000433 (GA)

Record details

NPI number1932329646
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , MA
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 8, 2007

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