| Miss Jessica Denise Mack, MS, RD, LD | |
|
705 Dallas Hwy, Villa Rica, GA 30180-1247 | |
| (770) 456-3249 | |
| (770) 456-3351 |
| Full Name | Miss Jessica Denise Mack |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 705 Dallas Hwy, Villa Rica, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598972044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD002855 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jessica Denise Mack, MS, RD, LD 5497 Lakeview Pkwy, Villa Rica, GA 30180-7856 Ph: (770) 456-3249 | Miss Jessica Denise Mack, MS, RD, LD 705 Dallas Hwy, Villa Rica, GA 30180-1247 Ph: (770) 456-3249 |
Ms. Sara Rose Addison, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-812-3249 | |
Mrs. Elissaveta B Johnson, M. S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-456-3249 Fax: 770-456-3351 | |
Ms. Rosalind Phillip, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 Dallas Highway, Villa Rica, GA 30180 Phone: 770-456-3195 Fax: 770-456-3351 |