NPI 1184728610

Jackie Busch, RD

Practitioner Registered Dietitian Canton, GA

Practice location

Address: 320 Hospital Rd, Canton, GA 30114-2432
Phone: (770) 479-5535
Fax: (770) 479-8821

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Georgia →

Registry record

NPI: 1184728610
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2006
Record last updated: 8 Jul 2007

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.