Organization
NUTRITIONECW LLC
Active
Other names
Eugenia Couchoud-Wilkinson
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIA COUCHOUD-WILKINSON MS, RDN, LD (CEO)
(678) 407-2159
Entity
Organization
Contact information
Practice address
1755 NORTH BROWN RD, STE.200, LAWRENCEVILLE, GA 30043
(678) 407-2159
(678) 288-8234
Mailing address
263 HERON LAKE CT, LAWRENCEVILLE, GA 30043-6850
(678) 407-2159
(678) 288-8234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316201015
NPI TYPE 1
GA
Enumeration date
07/11/2018
Last updated
07/11/2018
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