Nicole Moore, RD Valid NPI
Individual provider · Registered Dietitian · Augusta, GA
- NPI
- 1346683372
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- LD002941 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-04-09
- Last updated
- 2013-04-09
Practice location
1120 15th St, Ba-1565
Augusta, GA 30912-0004
(706) 721-7602