Individual
MARGOT WITTEVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1370 IVERSON ST NE, ATLANTA, GA 30307-2075
(404) 394-8272
Mailing address
1370 IVERSON ST NE, ATLANTA, GA 30307-2075
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003350
GA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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