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MARY LOUISE SLULLIVAN R.D., LD, MA
NPI 1932329646
Dietitian, Registered in Augusta, GA

Active since April 26, 2007
2361 TOBACCO RD, AUGUSTA, GA 30906(706) 793-4401(706) 790-4372 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Louise Slullivan R.d., Ld, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOUISE SLULLIVAN R.D., LD, MA (NPI 1932329646) is an individual dietitian, registered in Augusta, Georgia, licensed in Georgia (LD000433) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1932329646
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY LOUISE SLULLIVANCredential: R.D., LD, MA
Location Address2361 TOBACCO RDAugusta, GA 30906-9220
Mailing Address3522 Hilltop DrAugusta, GA 30906-5732 · (706) 796-8739 · Fax (706) 796-6075
Phone(706) 793-4401
Fax(706) 790-4372
Sole ProprietorYes
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932329646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in GA · LD000433
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2361 TOBACCO RD, Augusta, GA 30906
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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP6842GA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUGUSTA ASSOCIATES INT MED&RH
Internal Medicine
2361 TOBACCO RD
AUGUSTA, GA 30906
Richmond County (706) 793-4401
FAMILY ALLIANCE, INC.
Community/Behavioral Health
2361 TOBACCO RD
AUGUSTA, GA 30906
Richmond County (803) 387-6186
AUGUSTA CENTER FOR OPTIMAL HEALTH
Legal Medicine
2361 TOBACCO RD
AUGUSTA, GA 30906
Richmond County (706) 793-4401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Slullivan's NPI number?

The NPI number for Mary Slullivan is 1932329646. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Mary Slullivan located?

Mary Slullivan practices at 2361 Tobacco Rd, Augusta, GA 30906. The listed phone number is (706) 793-4401.

What is Mary Slullivan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Mary Slullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.