NPI 1134462328

J&m Nutritional Consulting Services, LLC

Organisation Preferred Provider Organization Augusta, GA

Practice location

Address: 4053 Jimmie Dyess Pkwy STE B, Augusta, GA 30909-9472
Phone: (706) 267-7479
Mailing address: 3522 Hilltop Dr, Augusta, GA 30906-5732

Authorised official

Name: Mary L. Sullivan
Title: President/Ceo
Phone: (706) 267-7479

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence LD000433 (GA)

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Registry record

NPI: 1134462328
Entity type: Organization
NPI issued: 5 Apr 2013
Record last updated: 5 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.