Jessica Mack, MS, RD, LD

NPI 1598972044 · on the registry since 2007 · sole proprietor

Practice

Address: 705 Dallas Hwy
Villa Rica, GA 30180
Phone: (770) 456-3249
Fax: (770) 456-3351
Organisation at this address: Joseph S. Palin, M.D.
Chattahoochee Healthcare Llc
Carrollton Orthopaedic Clinic Pc
Carrollton Orthopaedic Clinic, Pc
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

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: 2007-07-08

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