Individual
ELIZABETH KELLY IMBODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
3385 EMBER ST, MARIETTA, GA 30066-3927
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004325
GA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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