Organization
100 PERCENT NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE POTTS-CARR RD (OWNER)
(678) 815-4551
Entity
Organization
Contact information
Practice address
8425 WALDRIP RD, GAINESVILLE, GA 30506-5774
(678) 815-4551
Mailing address
8425 WALDRIP RD, GAINESVILLE, GA 30506-5774
(678) 815-4551
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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