Individual
ALISHA RISSER JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1120 15TH ST # BP1565, AUGUSTA, GA 30912-0004
(706) 721-8169
Mailing address
716 WESLEYAN CIR, EVANS, GA 30809-0180
(229) 402-0112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003590
GA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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