Organization
LEAFY LIFE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY DOUGLAS RDN (OWNER)
(678) 718-8246
Entity
Organization
Contact information
Practice address
8735 DUNWOODY PL # 5563, ATLANTA, GA 30350-2995
(678) 718-8246
Mailing address
4204 PEACHFORD CIR, DUNWOODY, GA 30338-6490
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
02/27/2024
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