Organization
NUTRITION ON LOCKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA BROOKS LOCKE (OWNER)
(478) 697-1691
Entity
Organization
Contact information
Practice address
1441 WOODMONT LN NW STE 1286, ATLANTA, GA 30318-2866
(478) 697-1691
Mailing address
7851 GA HIGHWAY 29, SOPERTON, GA 30457-5387
(478) 697-1691
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
02/06/2023
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