Organization
PURE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE FLOLO RD, LD, CDE (OWNER)
(678) 466-7025
Entity
Organization
Contact information
Practice address
1 LEGACY DR, ROSWELL, GA 30075-6235
(678) 466-7025
(678) 466-7025
Mailing address
1 LEGACY DR, ROSWELL, GA 30075-6235
(678) 466-7025
(678) 466-7025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003274
GA
Other
Enumeration date
08/30/2010
Last updated
03/14/2015
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