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Individual

LESLIE K MACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
1802 ABBEY CT, ALPHARETTA, GA 30004-6017
(678) 554-7576
Mailing address
1802 ABBEY CT, ALPHARETTA, GA 30004-6017

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/11/2019
Last updated
07/07/2025
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