| NPI | 1558725630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA KINDAL WOODRUFF Managing Officer 770-940-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7682) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |