| NPI | 1396183190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA C SIMPSON Executive Director 678-607-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004064) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |