Organization
SOUTHEAST CLINICAL NUTRITION CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO PETER CAPOZZOLI JR. RD, CSR, LD (PRESIDENT)
(678) 527-0800
Entity
Organization
Contact information
Practice address
5605 GLENRIDGE DR, SUITE 1050, ATLANTA, GA 30342-1365
(678) 527-0800
(678) 244-9010
Mailing address
5605 GLENRIDGE DR, SUITE 1050, ATLANTA, GA 30342-1365
(678) 527-0800
(678) 244-9010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
03/03/2014
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