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Organization
CARNIVORE NUTRITION
Active
Organization
CARNIVORE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WILLIAMS NP (OWNER)
(478) 955-8515
Entity
Organization
Contact information
Practice address
200 CHILTON PL, BONAIRE, GA 31005-3889
(478) 955-8515
Mailing address
608 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 955-8515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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