Healthcare Provider Details

I. General information

NPI: 1598678807
Provider Name (Legal Business Name): POP NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL
SANDY SPRINGS GA
30350-2995
US

IV. Provider business mailing address

8735 DUNWOODY PL # 11324
SANDY SPRINGS GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 404-323-7436
  • Fax:
Mailing address:
  • Phone: 404-323-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAZMIN MURRAY
Title or Position: FOUNDER & LEAD DIETITIAN
Credential: RDN
Phone: 404-323-7436