Individual
NICHELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CLC
Contact information
Practice address
2498 WILLIAMSDOWNS CIR, SNELLVILLE, GA 30078-2346
(678) 887-9716
Mailing address
2498 WILLIAMSDOWNS CIR, SNELLVILLE, GA 30078-2346
(678) 887-9716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1063554
GA
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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