NPI 1073944492

Misty Mullins Clackum, RDCSPLDN

Practitioner Registered Dietitian Gainesville, GA

Practice location

Address: 1814 Treesort Vw, Gainesville, GA 30506-5383
Phone: (423) 284-5512
Fax: (770) 470-0770

Registered specialties (4)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD002340 (GA)

Other Dietitian, Registered providers in Georgia →

Pediatric Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1004X Licence 1250 (TN)

Pediatric Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1004X Licence LD002340 (GA)

Pediatric Critical Care Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1401X Licence LD002340 (GA)

Registry record

NPI: 1073944492
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2013
Record last updated: 26 Jul 2025

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.