SearchGeorgiaRegistered Dietitian

Misty Clackum, RD, CSP, LDN

NPI 1073944492 · on the registry since 2013 · sole proprietor

Practice

Address
1814 Treesort Vw
Gainesville, GA 30506
Phone
(423) 284-5512
Fax
(770) 470-0770
Organisation at this address
Misty Clackum Nutrition Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Also registered as
Pediatric Nutrition Registered Dietitian
Pediatric Nutrition Registered Dietitian
Pediatric Critical Care Nutrition Registered Dietitian
Licence states on file
TN, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-26

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