Individual
MR. MICHAEL ALLYN BORDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
10 PERIMETER PARK DR APT 314, ATLANTA, GA 30341-1342
(404) 797-1540
Mailing address
10 PERIMETER PARK DR APT 314, ATLANTA, GA 30341-1342
(404) 797-1540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
217060
AK
133V00000X
Registered Dietitian
DX6367
MD
133V00000X
Registered Dietitian
Primary
LD004145
GA
133V00000X
Registered Dietitian
LDN7139
MA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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