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Organization
FOOD FOR LIFE, LLC
Active
Organization
FOOD FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JOYCE NICHOLOS MS, RDN, LD (OWNER, MEMBER)
(678) 386-4809
Entity
Organization
Contact information
Practice address
3980 GALLANT FOX CT, DULUTH, GA 30096-5416
(678) 386-4809
Mailing address
3980 GALLANT FOX CT, DULUTH, GA 30096-5416
(678) 386-4809
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86077822
GA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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