# CARNIVORE NUTRITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467224725
- **Authorized official:** AMY WILLIAMS NP (OWNER)
- **Authorized official phone:** (478) 955-8515

## Contact information

- **Practice address:** 200 CHILTON PL, BONAIRE, GA 31005-3889
- **Practice address phone:** (478) 955-8515
- **Mailing address:** 608 FOXBOROUGH LN, BONAIRE, GA 31005-3663
- **Mailing address phone:** (478) 955-8515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 10/30/2023