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Organization

NORTHEAST GEORGIA PHYSICIANS GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JENNIFER WAY RD, LD (DIETITIAN)
(770) 219-9209
Entity
Organization

Contact information

Practice address
1075 JESSE JEWELL PKWY, GAINESVILLE, GA 30501
(770) 219-9209
Mailing address
1075 JESSE JEWELL PKWY, GAINESVILLE, GA 30501

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004565
GA

Other

Enumeration date
04/01/2016
Last updated
04/01/2016
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