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Individual

BRANDYN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN, LD, MPH

Contact information

Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(334) 430-1560
Mailing address
2260 STEPHEN LONG DR NE APT B, ATLANTA, GA 30305-4325
(334) 430-1560

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004841
GA

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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