Individual
MARY MARGARET JIMENEZ ENRILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
71 LUSY ST SE UNIT 2, ATLANTA, GA 30312
(770) 778-5297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004827
GA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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