OrganizationActive
Neely Devine Nutrition, LLC
NPI 1487405395 · Health Maintenance Organization · Lookout Mountain, GA
Provider details
- NPI number
- 1487405395
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Cornele Devine, Owner(423) 244-8534
Specialties & taxonomies
Managed Care Organizations
Practice location
300 Durand Dr Apt 22
Lookout Mountain, GA 30750-2707
Phone: (423) 244-8534
Approximate (ZIP-level) locationGet directions
Mailing address
300 Durand Dr Apt 22
Lookout Mountain, GA 30750-2707
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.