Individual
MS. DONNA L RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1670 CLAIRMONT ROAD RM 6C117, ATLANTA VA MEDICAL CENTER, ATLANTA, GA 30033
(404) 321-6111
Mailing address
111 1/2 DEER PARK LANE, CALHOUN, GA 30701
(678) 767-9401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002115
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD002115
STATE LICENSE
GA
Enumeration date
01/02/2009
Last updated
01/02/2009
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