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Organization
ATLANTA PEDIATRIC NUTRITION, INC.
Active
Organization
ATLANTA PEDIATRIC NUTRITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN BAILEY KOCH RD, CSP, LD (PRESIDENT)
(404) 543-3897
Entity
Organization
Contact information
Practice address
140 ROCKY CREEK TRL, WOODSTOCK, GA 30188-6246
(404) 543-3897
(404) 745-0808
Mailing address
140 ROCKY CREEK TRL, WOODSTOCK, GA 30188-6246
(404) 543-3897
(404) 745-0808
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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