Mary Louise Slullivan, R.D., LD, MA Valid NPI

Individual provider · Registered Dietitian · Augusta, GA

NPI

1932329646

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

LD000433 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-04-26

Last updated

2007-07-08