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Individual

MICHAEL CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 PEACHTREE ST NE, MOT 7TH FLOOR, BARIATRIC DEPARTMENT, ATLANTA, GA 30308
(404) 686-1414
Mailing address
550 PEACHTREE ST NE, MOT 7TH FLOOR, BARIATRIC DEPARTMENT, ATLANTA, GA 30308

Taxonomy

Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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