Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JESSICA DENISE MACK, MS, RD, LD
Active Sole ProprietorMISS JESSICA DENISE MACK, MS, RD, LD is a Registered Dietitian healthcare provider located in VILLA RICA, Georgia. NPI 1598972044 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · VILLA RICA, GA
Registration Details
- NPI Number
- 1598972044
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.213694514057 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD002855 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
705 DALLAS HWYVILLA RICA, GA, 301801247Browse GA providers · Browse ZIP 30180
- Phone
- 7704563249
- Fax
- 7704563351
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in VILLA RICA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. ROSALIND PHILLIP | RD | 1437346319 |
| MRS. ELISSAVETA B JOHNSON | M. S., R.D., L.D. | 1134442122 |
| MS. SARA ROSE ADDISON | MS, RD, LD | 1073139994 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.