Individual
MRS. MADISON GAYLOR WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
536 BIG ROCKY BND, GEORGETOWN, TX 78626-2638
(512) 797-5347
Mailing address
536 BIG ROCKY BND, GEORGETOWN, TX 78626-2638
(512) 797-5347
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86131082
TX
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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