| NPI | 1235378639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHANA C BLISSETT Registered Dietitian 404-273-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD001559) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: GA LD001559) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: GA LD001559) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: GA LD001559) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: GA LD001559) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |