Organization
ATLANTA PEDIATRIC NUTRITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN BAILEY KOCH RD, CSP, LD (PRESIDENT)
(404) 543-3897
Entity
Organization
Contact information
Practice address
140 ROCKY CREEK TRL, WOODSTOCK, GA 30188-6246
(404) 543-3897
(404) 745-0808
Mailing address
140 ROCKY CREEK TRL, WOODSTOCK, GA 30188-6246
(404) 543-3897
(404) 745-0808
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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