Organization
MANIFEST NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRRA CROMER-ELLIS RDN (RDN/OWNER)
(470) 954-6517
Entity
Organization
Contact information
Practice address
44 DARBYS CROSSING DR STE 206, HIRAM, GA 30141-6008
(470) 954-6517
Mailing address
103 PROSPECT PATH, HIRAM, GA 30141-2694
(470) 954-6517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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