| NPI | 1477187300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKEENA ST. MARTIN Registered Dietitian Nutritionist 404-923-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2021-12-28 |