Individual
MITCHELL J OREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7320-05-5913
IN
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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