Individual
MS. AMY B BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
148 STADDLEBRIDGE AVE, CANTON, GA 30114-6624
(678) 361-1125
Mailing address
148 STADDLEBRIDGE AVE, CANTON, GA 30114-6624
(678) 361-1125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001349
GA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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