NPI age
19 years
Enumerated 2006-10-04
Across 1653 active dietitian, registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LD002235 | GA LICENSURE |
| 01 (GA) | 725487 | CDR, RD REGISTRATION NUM |
Part of a multi-provider practice. 445 other active providers share this practice address in NPPES.
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