Organization
SUITABLE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PETERSON (OWNER)
(518) 961-1778
Entity
Organization
Contact information
Practice address
630 RIVER FALLS CT, ROSWELL, GA 30076-5120
(518) 961-1778
Mailing address
630 RIVER FALLS CT, ROSWELL, GA 30076-5120
(518) 961-1778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD004817
GEORGIA PROFESSIONAL LICENSING BOARDS DIVISION
GA
Enumeration date
09/19/2022
Last updated
09/19/2022
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