Individual
MARISSA MAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(770) 710-8150
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(770) 710-8150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006070
GA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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