Individual
ALICIA C SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, IBCLC
Contact information
Practice address
215 CHURCH ST STE 112, DECATUR, GA 30030-3330
(678) 607-6052
(404) 850-1362
Mailing address
215 CHURCH ST STE 112, DECATUR, GA 30030-3330
(678) 607-6052
(404) 850-1362
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
LD004064
GA
133V00000X
Registered Dietitian
Primary
LD004064
GA
133VN1004X
Pediatric Nutrition Registered Dietitian
LD004064
GA
174N00000X
Lactation Consultant (Non-RN)
L-46587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137551A
—
GA
Enumeration date
05/02/2013
Last updated
06/03/2025
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