| Nutrisource Nutritional Services | |
|
3226 Hampton Ave Ste F, Brunswick, GA 31520-4252 | |
| (912) 222-7755 | |
| (912) 264-4071 |
| Full Name | Nutrisource Nutritional Services |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3226 Hampton Ave Ste F, Brunswick, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285869974 | NPI | - | NPPES |
| 931505 | Other | COMMISSION ON DIETETIC REGISTRATION | |
| 00931505 | Other | AMERICAN DIETETIC ASSOCIATION | |
| LD002579 | Other | GA | LICENSED DIETITIAN |
| T118230 | Other | AMERICAN COUNCIL ON EXERCISE PERSONAL TRAINER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD002579 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrisource Nutritional Services 620 Sea Island Rd, Pmb 273, St Simons Island, GA 31522-1767 Ph: (912) 222-7755 | Nutrisource Nutritional Services 3226 Hampton Ave Ste F, Brunswick, GA 31520-4252 Ph: (912) 222-7755 |
Hope Nutritional Services Dietitian Medicare: Not Enrolled in Medicare Practice Location: 154 Cornerstone Drive, Brunswick, GA 31523 Phone: 912-262-9966 Fax: 912-262-9976 | |
Brianna Ussery, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-3017 | |
Amy Elizabeth Mccloud, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Scranton Connector, Suite 118, Brunswick, GA 31525 Phone: 912-264-5961 Fax: 912-262-9499 | |
Mrs. Jennifer Lynn Nicholson, RD, LD/N, MSH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3226 Hampton Ave Ste F, Brunswick, GA 31520 Phone: 912-264-9724 | |
Tracie Bock, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1415 Legacy Dr, Brunswick, GA 31525 Phone: 912-266-0989 | |
Schella Hope, MS,RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1628 Union St, Brunswick, GA 31520 Phone: 912-262-9966 Fax: 912-262-9976 |