Individual
MS. SEPIDEH ZOHREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
9835 AUTRY FALLS DR, ALPHARETTA, GA 30022-8095
(602) 810-4690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD005165
DIETITIAN LICENSE
GA
Enumeration date
11/14/2018
Last updated
11/14/2018
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