Individual
JODIE LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
347 CAMELLIA WAY, DALLAS, GA 30132-5527
(404) 569-1851
Mailing address
347 CAMELLIA WAY, DALLAS, GA 30132-5527
(404) 569-1851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004338
GA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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