Organization
WHOLE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ELIZABETH MCCLOSKEY MS, RD, LD (REGISTERED DIETITIAN)
(770) 324-8492
Entity
Organization
Contact information
Practice address
1457 SPRUCE DRIVE, SMYRA, GA 30080
(770) 324-8492
Mailing address
1457 SPRUCE DRIVE, SMYRA, GA 30080
(770) 324-8492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
05/28/2021
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