| North Georgia Nutrition And Wellness Llc | |
|
3617 Braselton Hwy, Suite 104, Dacula, GA 30019-4667 | |
| (770) 718-6736 | |
| Not Available |
| Full Name | North Georgia Nutrition And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3617 Braselton Hwy, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184039935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD001208 (Georgia) | Primary |
| Provider Name | Leslie C Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336580307 PECOS PAC ID: 4789802620 Enrollment ID: I20140909001387 |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Nutrition And Wellness Llc 2709 Legislative Ln, Buford, GA 30519-8037 Ph: (770) 718-6736 | North Georgia Nutrition And Wellness Llc 3617 Braselton Hwy, Suite 104, Dacula, GA 30019-4667 Ph: (770) 718-6736 |
Dawn Hedley, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 3567 Vern Way, Dacula, GA 30019 Phone: 678-457-1138 | |
Cheryl M Mitchell, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1862 Auburn Rd Ste 118-q5, Dacula, GA 30019 Phone: 770-744-1995 | |
Lindsay Hoskins, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1472 Mill Grove Ct, Dacula, GA 30019 Phone: 678-720-6891 | |
Mrs. Leslie Conger Davis, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3617 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 770-718-6736 | |
Ultiwellness Solutions Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2318 Centenary Way Ct, Dacula, GA 30019 Phone: 770-344-7901 | |
Lisa Wiggins, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 920 Winnbrook Dr, Dacula, GA 30019 Phone: 678-758-6042 |