Body for Life, LLC
Organization Active NPI Registered Dietitian · Eatonton, GA
NPI 1922326982 · NPPES record last updated May 13, 2010
Key facts
- NPI
- 1922326982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 0107063 (GA)
- Legal business name
- BODY FOR LIFE, LLC
- Practice address
- 136 E River Bend Dr
Eatonton, GA 31024-5353 - Phone
- (678) 773-1853
- NPI assigned
- May 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stacy Ann Paine, RD, LD
- Title
- Owner
- Phone
- (678) 773-1853
Practitioners 1
-
Stacy Ann Paine, RD, LD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 0107063 | GA | Yes |
Addresses
Primary practice location
136 E River Bend Dr
Eatonton, GA 31024-5353
Mailing address
136 E River Bend Dr
Eatonton, GA 31024-5353
Other providers in Eatonton, GA
- Melissa Dawn Belcher
- Claude Lincoln Bellefeuille III
- Zo Benbrahim
- Benzer Pharmacy Eatonton LLC
- Robert Douglas Betzel
- Erica D Bolston
- Maureen Bowser
- Cristina Evans Brehob
- Nelson Shelby Brewer
- Cynthia C. Brewster
All providers in Eatonton, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.