NPI age
20 years
Enumerated 2006-02-07
Across 1653 active dietitian, registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 5111710036 | MEDICARE PTAN |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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