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Individual

JANE GUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCN, RD, LD

Contact information

Practice address
1801 PEACHTREE ST NE STE 350, ATLANTA, GA 30309-1895
(770) 756-6291
Mailing address
1801 PEACHTREE ST NE STE 350, ATLANTA, GA 30309-1895
(770) 756-6291

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88019
TX
133V00000X
Registered Dietitian
LD-D-10262703
OR
133V00000X
Registered Dietitian
LD007162
GA

Other

Enumeration date
10/11/2022
Last updated
03/16/2026
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