Individual
DAN S BENARDOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, RD
Contact information
Practice address
5825 GLENRIDGE DR NE, SUITE 2-107, SANDY SPRINGS, GA 30328-5387
(404) 567-5029
Mailing address
5825 GLENRIDGE DR NE, SUITE 2-107, SANDY SPRINGS, GA 30328-5387
(404) 567-5029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD000461
STATE OF GEORGIA LICENSED DIETITIAN
GA
Enumeration date
06/19/2008
Last updated
06/19/2008
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