Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Michelle Carlson

Individual provider Nutritionist · NPI 1649986381

Mary Michelle Carlson is a Nutritionist in Waleska, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

262 Ridgewood Dr
Waleska, GA 30183-3942
Phone: (404) 290-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1649986381
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023