| NPI | 1457670663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAQUESS Program Director 404-785-9443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 003405) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |