Provider Demographics
NPI:1477187300
Name:AKS NUTRITION, LLC.
Entity Type:Organization
Organization Name:AKS NUTRITION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:AKEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LD
Authorized Official - Phone:404-923-0223
Mailing Address - Street 1:840 PLUMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-9020
Mailing Address - Country:US
Mailing Address - Phone:404-923-0223
Mailing Address - Fax:833-924-0340
Practice Address - Street 1:840 PLUMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-9020
Practice Address - Country:US
Practice Address - Phone:404-923-0223
Practice Address - Fax:833-924-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-01
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty