Individual
GEORGIA DEANE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, CCN
Contact information
Practice address
4500 PEWTER LN BLDG 8&9, MANLIUS, NY 13104-9707
(315) 663-4944
Mailing address
4656 GLENCLIFFE RD, MANLIUS, NY 13104-2304
(315) 663-4944
(315) 682-0804
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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