Individual
JEREMY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1380 W MARIETTA ST NW, ATLANTA, GA 30318-4974
(614) 738-1343
Mailing address
4104 PEACHFORD CIR, DUNWOODY, GA 30338-6488
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006597
GA
Other
Enumeration date
07/25/2023
Last updated
01/11/2026
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