Slullivan, Mary Louise

Slullivan, Mary Louise is an sole proprietor health care provider with primary practice located at 2361 Tobacco Rd , Augusta GA 30906-9220. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Slullivan, Mary Louise can be contacted via phone (706) 793-4401.

Contact Information

Primary practice address
2361 Tobacco Rd Augusta GA 30906-9220
Phone: (706) 793-4401
Fax: (706) 790-4372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD000433 Georgia

Profile Details

NPI number 1932329646
LBN Legal business name Slullivan, Mary Louise
Credentials R.D., LD, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
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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