Mary Michelle Carlson
Nutritionist in Waleska, GA. Individual provider (NPI-1).
NPI number1649986381
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1649986381
- Entity type
- Individual (NPI-1)
- Name
- Mary Michelle Carlson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2023
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
Practice location
262 Ridgewood DrWaleska, GA 30183-3942
Phone 404-290-6130
Mailing address
262 Ridgewood DrWaleska, GA 30183-3942
Phone 404-290-6130
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.