Jordan Domenick, RD

NPI 1053988477 · on the registry since 2021 · sole proprietor

Practice

Address: 1061 Harmon Ave
Fort Stewart, GA 31314
Phone: (912) 435-6633
Organisation at this address: U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft Stewart
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,112

Registry record

Primary taxonomy: Registered Dietitian
133V00000X
Also registered as: Registered Dietitian
Licence states on file: MN, MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia