| NPI | 1275901449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJGAN SHAHMAR Owner 404-862-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: GA 061005) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: GA 032720) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |