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Individual

LESLIE STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDLD

Contact information

Practice address
4281 CLUB DR NE, ATLANTA, GA 30319-1148
(404) 240-0560
(404) 240-0560
Mailing address
4281 CLUB DR NE, ATLANTA, GA 30319-1148
(404) 240-0560
(404) 240-0560

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
709124
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
709124
AMERICAN DIETETIC ASSOCIATION REGISTRATION NUMBER
GA
Enumeration date
04/01/2009
Last updated
04/01/2009
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