MRS. MISTY CLACKUM, RD, CSP, LDN
Dietitian, Registered
Active
Individual
NPI: 1073944492
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered - Nutrition, Pediatric | 133VN1004X | No | LD002340 (GA) |
| Dietitian, Registered - Nutrition, Pediatric Critical Care | 133VN1401X | No | LD002340 (GA) |
| Dietitian, Registered | 133V00000X | Yes | LD002340 (GA) |
Frequently Asked Questions
NPI 1073944492 is the National Provider Identifier for MRS. MISTY CLACKUM, RD, CSP, LDN, a Dietitian, Registered provider located in Gainesville, GA. This NPI was enumerated on December 11, 2013.
MRS. MISTY CLACKUM, RD, CSP, LDN practices at 1814 TREESORT VW, Gainesville, GA 30506.
Quick Facts
- NPI
- 1073944492
- Type
- Individual
- Enumerated
- Dec 11, 2013
- Last Updated
- Jul 26, 2025
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