| NPI | 1770825945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DELORES KING Owner/Manager 404-387-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6057) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |