Individual
EILEEN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1365 CLIFTON RD NE BLDG A, ATLANTA, GA 30322-1013
(803) 565-0649
Mailing address
451 DURAND DR NE APT 7, ATLANTA, GA 30307-1107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005218
GA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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