Individual
GITTA ADIVIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(678) 599-8435
Mailing address
5728 WOODVALLEY TRCE, NORCROSS, GA 30071-3461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005432
GA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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