Individual
LA'DARIUS C MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, RDN, LD
Contact information
Practice address
6614 OVERLOOK RDG, ATLANTA, GA 30349-1394
(205) 617-6276
Mailing address
6614 OVERLOOK RDG, ATLANTA, GA 30349-1394
(205) 617-6276
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005090
GA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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