Individual
MS. SARA ROSE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 812-3249
Mailing address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 812-3249
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003685
GA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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