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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY CLACKUM NUTRITION LLC

Active Organization

Registered Dietitian · GAINESVILLE, GA

Registration Details

NPI Number
1467335786
Provider Type
Organization
NPI Issued
Jul 26, 2025 (0.73964121974975 yrs)
Last Updated
Jul 26, 2025

Practice Information

Address
1814 TREESORT VW
GAINESVILLE, GA, 305065383
Browse GA providers · Browse ZIP 30506
Phone
4232845512
Fax
7704700770
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Organizations in GAINESVILLE, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.