Individual
MRS. NICOLE ACCETTURA HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
4 MEDICAL DR, ELBERTON, GA 30635-1830
(706) 213-2591
(706) 283-1657
Mailing address
12 AMHERST AVE, GREENVILLE, SC 29605-2025
(864) 277-4193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002302
GA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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