Individual
MARY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-9848
Mailing address
1206 MANOR CREST CT NE, MARIETTA, GA 30068-2401
(678) 525-1587
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
803738
GA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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