Organization
KIMBERLY THE DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JACKSON (REGISTERED DIETITIAN)
(404) 889-7662
Entity
Organization
Contact information
Practice address
3100 INTERSTATE NORTH CIR SE STE 200, ATLANTA, GA 30339-2384
(404) 889-7662
Mailing address
3100 INTERSTATE NORTH CIR SE STE 200, ATLANTA, GA 30339-2384
(404) 889-7662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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