# ATLANTA PEDIATRIC NUTRITION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558096479
- **Authorized official:** MRS. HELEN BAILEY KOCH RD, CSP, LD (PRESIDENT)
- **Authorized official phone:** (404) 543-3897

## Contact information

- **Practice address:** 140 ROCKY CREEK TRL, WOODSTOCK, GA 30188-6246
- **Practice address phone:** (404) 543-3897
- **Practice address fax:** (404) 745-0808
- **Mailing address:** 140 ROCKY CREEK TRL, WOODSTOCK, GA 30188-6246
- **Mailing address phone:** (404) 543-3897
- **Mailing address fax:** (404) 745-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2022
- **Last updated:** 07/24/2022