Individual
MARA IVANKA GALIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSC, RD
Contact information
Practice address
5332 VININGS LAKE VW SW, MABLETON, GA 30126-2542
(404) 441-4029
Mailing address
5332 VININGS LAKE VW SW, MABLETON, GA 30126-2542
(404) 441-4029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
930413
GA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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