Individual
MRS. JAMEL SHAHIDA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN LD
Contact information
Practice address
3179 PARKRIDGE CRES, ATLANTA, GA 30341-3107
(470) 788-9672
Mailing address
3179 PARKRIDGE CRES, ATLANTA, GA 30341-3107
(470) 788-9672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003376
GA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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