Individual
JENNIFER WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1075 JESSE JEWELL PKWY NE STE B, GAINESVILLE, GA 30501-3814
(770) 219-9209
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004565
GA
Other
Enumeration date
09/01/2016
Last updated
02/18/2021
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