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1568476778
SUSAN H HAGOOD
DECATUR, GA
NPI
1568476778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD000378)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
MRS. SUSAN H HAGOOD RD,LD,CDE
1670 CLAIRMONT RD #120
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
MRS. SUSAN H HAGOOD RD,LD,CDE
1178 FORREST BLVD
DECATUR, GA 30030-4736
Phone number: 404-289-0054
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