Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY MICHELLE CARLSON
Active Sole ProprietorMARY MICHELLE CARLSON is a Nutritionist healthcare provider located in WALESKA, Georgia. NPI 1649986381 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · WALESKA, GA
Registration Details
- NPI Number
- 1649986381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2023 (3.573989258933 yrs)
- Last Updated
- Jan 26, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
262 RIDGEWOOD DRWALESKA, GA, 301833942Browse GA providers · Browse ZIP 30183
- Phone
- 4042906130
- Primary Specialty
-
Nutritionist
133N00000X
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.