Provider Demographics
NPI:1124918826
Name:NUTRIX HEALTHCARE
Entity type:Organization
Organization Name:NUTRIX HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RODSHAWNDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:404-951-8244
Mailing Address - Street 1:2260 FAIRBURN RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-5014
Mailing Address - Country:US
Mailing Address - Phone:404-951-8244
Mailing Address - Fax:
Practice Address - Street 1:3915 CASCADE RD SW STE T-136
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8520
Practice Address - Country:US
Practice Address - Phone:404-951-8244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty