NUTRITION 411 BEVERLY FORD RD LD LLC
Dietitian and Nutritionist at Williams St, Augusta, GA

License number
Georgia 000488
Category
Dietitian and Nutritionist
Type
Nutrition, Renal
Owner
Name: BEVERLY FORD RD LD
Title: OWNER
Phone: (706) 589-1582
Address
Address
2425 Williams St, Augusta, GA 30904
National Provider ID: 1225220866
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NUTRITION 411 BEVERLY FORD, RD LD, LLC

Augusta, GA

Industry:
Ret Misc Foods
Registration:
Jun 13, 2007
Addresses:
2425 William St, Augusta, GA 30904 (Physical)
2425 Williams St, Augusta, GA 30904
State ID:
07049773
Business type:
Domestic Limited Liability Company
Owner, Principal:
Beverly Ford (Owner, Principal)
Agent:
Beverly Bray Ford,2425 William St, Augusta, GA 30904 (Physical)

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