Organization
NUTRITION CONSULTANTS OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISA ISABEL WYNN RD, LD (MANAGING PARTNER)
(678) 207-9139
Entity
Organization
Contact information
Practice address
1105 CHIPWOOD PATH, TUCKER, GA 30084-1434
(404) 664-3219
(770) 723-1397
Mailing address
1105 CHIPWOOD PATH, TUCKER, GA 30084-1434
(404) 664-3219
(770) 723-1397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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