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Organization
KIDNEY NUTRITION SPECIALIST LLC
Active
Organization
KIDNEY NUTRITION SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADEDA DARWASHIA HOOKS RDN (PRESIDENT)
(770) 568-0162
Entity
Organization
Contact information
Practice address
1425 HIGHWAY 34 E, NEWNAN, GA 30265-1323
(470) 205-0119
(770) 580-1880
Mailing address
213 HIGHLAND HILLS RD, FAYETTEVILLE, GA 30214-5429
(770) 568-0162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
06/29/2020
Last updated
07/08/2026
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