Jessica Denise Mack in Villa Rica - Dietitian, Registered
Jessica Denise Mack - NPI 1598972044
Jessica Denise Mack is a Dietitian, Registered in Villa Rica, Georgia. Jessica Denise Mack practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jessica Denise Mack is 1598972044. The last update date is 2007-07-08.
Jessica Denise Mack's current location address is 5497 Lakeview Pkwy, Villa Rica, Georgia. You can contact this provider via phone number 7704563249. The mailing address for Jessica Denise Mack is 5497 Lakeview Pkwy, Villa Rica, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Denise Mack |
|---|---|
| Address | 5497 Lakeview Pkwy, Villa Rica, Georgia |
| Phone Number | 7704563249 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1598972044 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5497 Lakeview Pkwy |
|---|---|
| City | Villa Rica |
| State | Georgia (GA) |
| Post Code | 301807856 |
| Phone Number | 7704563249 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LD002855 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code issued to Jessica Denise Mack by the Centers for Medicare & Medicaid Services?
The Jessica Denise Mack has been assigned the NPI (National Provider Identifier) 1598972044 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jessica Denise Mack's facilities are situated?
The facilities of Jessica Denise Mack are physically located at the following address: 5497 Lakeview Pkwy, Villa Rica, GA, 301807856.
What is Jessica Denise Mack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jessica Denise Mack is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Jessica Denise Mack receive its 1598972044 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Denise Mack was assigned its 1598972044 by the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the Jessica Denise Mack's details last updated?
The information pertaining to the Jessica Denise Mack, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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