Individual
MISS JESSICA DENISE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
705 DALLAS HWY, VILLA RICA, GA 30180-1247
(770) 456-3249
(770) 456-3351
Mailing address
5497 LAKEVIEW PKWY, VILLA RICA, GA 30180-7856
(770) 456-3249
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002855
GA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us