Outlaw, Joyce Elaine

Outlaw, Joyce Elaine is an sole proprietor health care provider with primary practice located at 1826 Veterans Blvd , Dublin GA 31021-3620. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Outlaw, Joyce Elaine can be contacted via phone (478) 272-1210.

Contact Information

Primary practice address
1826 Veterans Blvd Dublin GA 31021-3620
Phone: (478) 272-1210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 30336 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD001552 Georgia

Profile Details

NPI number 1275625089
LBN Legal business name Outlaw, Joyce Elaine
Credentials R.D. L.D. M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275625089 NPPES
Other 303362 REGISTERED DIETITIAN
Other LD001552 REGISTERED DIETITIAN

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