Organization
MIDDLE GEORGIA NUTRITION CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LYONS RD LD (OWNER)
(678) 372-5534
Entity
Organization
Contact information
Practice address
1209 N COLUMBIA DR, MILLEDGEVILLE, GA 31061-2395
(678) 372-5534
Mailing address
232 RIVER NORTH CIR, MACON, GA 31211-6038
(678) 372-5534
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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