Individual
MRS. JESSICA SUTTON BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
305 TIMBERWIND DR, BYRON, GA 31008-9540
(478) 952-8577
(478) 953-6556
Mailing address
305 TIMBERWIND DR, BYRON, GA 31008-9540
(478) 952-8577
(478) 953-6556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002820
GA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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