Nutrisource, Inc.

LBN: Nutrisource Nutritional Services, Inc.
Nutrisource, Inc. is an health care organization with primary practice located at 504 Beachview Dr Suite 2A, Saint Simons Island GA 31522-4740. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Nutrisource Nutritional Services, Inc. can be contacted via phone (912) 222-7755, or through Bailey, Lauren G. via phone (912) 222-7755.

Contact Information

Primary practice address
504 Beachview Dr Suite 2A Saint Simons Island GA 31522-4740
Phone: (912) 222-7755
Fax: (912) 434-7018
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Lauren G. Registered Dietitian (RD)
Phone: (912) 222-7755

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD002579 Georgia

Profile Details

NPI number 1932486966
LBN Legal business name Nutrisource Nutritional Services, Inc.
DBA Doing business as Nutrisource, Inc.
Authorized official Bailey, Lauren G. Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2011
Last updated Nov 4th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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