MEDICARE: NUTRITION SOLUTIONS FOR ME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD003719	GA

General Provider Information

NPI Number	:	1245578293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUTRITION SOLUTIONS FOR ME LLC

Provider Business Mailing Address
First Line	:	3294 ISLESWORTH TRCE
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-6289
Country	:	US
Telephone Number	:	678-250-3438
Fax Number	:

Provider Business Practice Location Address
First Line	:	3294 ISLESWORTH TRCE
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-6289
Country	:	US
Telephone Number	:	678-682-8133
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIEITIAN
Name	:	PARUL SHAH
Credential	:	RD
Telephone Number	:	678-250-3438

Provider Enumeration Date	:	01/26/2013
Last Update Date	:	03/06/2025

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Directions to “NUTRITION SOLUTIONS FOR ME LLC ” Practice Location

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