Mary Michelle Carlson
Mary Michelle Carlson is a Nutritionist in Waleska, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
262 Ridgewood DrWaleska, GA 30183-3942
Phone: (404) 290-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutritionist (primary) | Taxonomy 133N00000X |
|---|
Record details
| NPI number | 1649986381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2023 |
| Last updated in NPPES | January 26, 2023 |
| Certification date | January 26, 2023 |
| Mailing address | 262 Ridgewood Dr, Waleska, GA 30183-3942 |