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Individual

MRS. PAM MCINTYRE OR LOU THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD LD RDN LDN

Contact information

Practice address
1113 CENTER DR, VIDALIA, GA 30474-5211
(912) 245-1765
(912) 537-2068
Mailing address
1113 CENTER DR, VIDALIA, GA 30474-5211
(912) 245-1765
(912) 537-2068

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1684
SC
133V00000X
Registered Dietitian
Primary
LD000015
GA
133V00000X
Registered Dietitian
ND7635
FL
133V00000X
Registered Dietitian

Other

Enumeration date
05/27/2025
Last updated
05/27/2025
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