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Organization
SOUTHEAST CLINICAL NUTRITION CENTERS, INC.
Active
Organization
SOUTHEAST CLINICAL NUTRITION CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO PETER CAPOZZOLI JR. RD, CSR, LD (PRESIDENT)
(678) 527-0800
Entity
Organization
Contact information
Practice address
5605 GLENRIDGE DR, SUITE 1050, ATLANTA, GA 30342-1365
(678) 527-0800
(678) 244-9010
Mailing address
5605 GLENRIDGE DR, SUITE 1050, ATLANTA, GA 30342-1365
(678) 527-0800
(678) 244-9010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
03/03/2014
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