Provider Demographics
NPI:1366191785
Name:CUREATIVE NUTRITION LLC
Entity type:Organization
Organization Name:CUREATIVE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:
Authorized Official - Last Name:PADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:LD, RD
Authorized Official - Phone:912-547-7282
Mailing Address - Street 1:1529 WALTHOUR RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-3218
Mailing Address - Country:US
Mailing Address - Phone:912-547-7282
Mailing Address - Fax:
Practice Address - Street 1:1529 WALTHOUR RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-3218
Practice Address - Country:US
Practice Address - Phone:912-547-7282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALD004739OtherSTATE LICENSE