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Organization
IGNITE PERFORMANCE NUTRITION, LLC
Active
Organization
IGNITE PERFORMANCE NUTRITION, LLC
Active
Other names
Ignite Nutrition Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LYNN HOOVER RD, LD (REGISTERED DIETITIAN)
(580) 279-0109
Entity
Organization
Contact information
Practice address
71 N JACKSON ST, FORSYTH, GA 31029-2168
(580) 279-0109
Mailing address
100 N BELMONT WAY, FORSYTH, GA 31029-5372
(580) 279-0109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
04/19/2024
Last updated
04/26/2024
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