Emily Grace Jones, RDN, LD, CLC

Individual provider Active NPI Registered Dietitian · Lavonia, GA

NPI 1154101558 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1154101558
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86118051 (GA)
Practice address
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone
(706) 356-7413
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86118051GAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86118051 GA Yes

Addresses

Primary practice location

367 Clear Creek Pkwy
Lavonia, GA 30553-4173

Mailing address

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7413

Other practice location 1

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3669

Other providers in Lavonia, GA

All providers in Lavonia, GA · Registered Dietitian in Georgia

Sources for this page

Verify at the official NPI Registry.