Individual
MS. ALLISON JO HUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 338-6368
(912) 338-7113
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004533
GA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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