Individual
NAOMI BIANCA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
125 EAGLES WALK STE 100, STOCKBRIDGE, GA 30281-7239
(678) 994-2700
(678) 737-1492
Mailing address
110 WALTER WAY UNIT 1888, STOCKBRIDGE, GA 30281-9520
(678) 994-2700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005275
GA
Other
Enumeration date
04/25/2019
Last updated
03/23/2021
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