# DINKINS NUTRITION CONSULTANT SERVICES LLS

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

## Provider details

- **NPI number:** 1942460019
- **Authorized official:** MRS. LINDA G DINKINS RD (REGISTERED DIETIAN)
- **Authorized official phone:** (404) 361-1552

## Contact information

- **Practice address:** 1174 FOREST PKWY, SUITE E3, LAKE CITY, GA 30260-3471
- **Practice address phone:** (404) 361-1550
- **Mailing address:** 6801 OCONEE PL, FAIRBURN, GA 30213-5407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | LD002944 | GA | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 06/12/2008
