Organization
OCONEE NUTRITION CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY PAINE (AGENT/MEMBER)
(678) 773-1853
Entity
Organization
Contact information
Practice address
1061 WHISPERING LAKES TRL, MADISON, GA 30650-6325
(678) 773-1853
Mailing address
1061 WHISPERING LAKES TRL, MADISON, GA 30650-6325
(678) 773-1853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
GA
Other
Enumeration date
05/26/2010
Last updated
03/21/2024
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