Organization
GEAR UP FOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY MALLEO (RD)
(404) 904-0268
Entity
Organization
Contact information
Practice address
1023 JUNIPER ST NE UNIT 205, ATLANTA, GA 30309-4068
(404) 904-0268
Mailing address
1023 JUNIPER ST NE UNIT 205, ATLANTA, GA 30309-4068
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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