Individual
MRS. NIKOLE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1719 MAGNOLIA WAY, AUGUSTA, GA 30909-9482
(706) 825-4944
Mailing address
4536 LOGANS WAY, AUGUSTA, GA 30909-9141
(706) 825-4944
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
825
SC
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD002687
GA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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