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Individual

TAYLOR RENEE FLEWELLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8132 AUTUMN FOREST DR, JONESBORO, GA 30236-3971
(678) 704-1334
Mailing address
8132 AUTUMN FOREST DR, JONESBORO, GA 30236-3971
(678) 704-1334

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
GA
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
Primary
LD006172
GA

Other

Enumeration date
04/04/2020
Last updated
04/15/2026
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