Individual
LOUISE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD, CDCES
Contact information
Practice address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-4647
(706) 374-5006
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5607
(706) 374-7628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001543
GA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
LD001543
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003257662
—
GA
05
—
Q076485
—
TN
Enumeration date
10/09/2020
Last updated
09/08/2022
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