Search › Georgia › 133V00000X
Shalese Pugh, RD,LD
NPI 1447245345 · on the registry since 2005
Practice
- Address
- 4772 Frontage Rd
Forest Park, GA 30297 - Phone
- (919) 491-9028
- Organisation at this address
- Temple Nutrition Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-23
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