Individual
KRISTA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 TULLIE RD NE FL 7, ATLANTA, GA 30329-2309
(404) 785-2755
Mailing address
1505 BROOKHAVEN CIR NE, BROOKHAVEN, GA 30319-3114
(706) 599-2289
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
LD005159
GA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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