Individual
MRS. SUSAN H HAGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
1670 CLAIRMONT RD, #120, DECATUR, GA 30033-4004
(404) 321-6111
(404) 286-9727
Mailing address
1178 FORREST BLVD, DECATUR, GA 30030-4736
(404) 289-0054
(404) 286-2797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000378
GA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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