Organization
YOUR DIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE BROOMFIELD RD, CSR, LD (CHIEF OPERATING OFFICER)
(770) 356-9468
Entity
Organization
Contact information
Practice address
2758 FELTON DR, EAST POINT, GA 30344-3604
(770) 356-9468
(678) 547-3156
Mailing address
908 NEEDLETOP CT, MCDONOUGH, GA 30253-4315
(770) 356-9468
(678) 547-3156
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD001151
GA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD001151
GA
133VN1006X
Metabolic Nutrition Registered Dietitian
LD001151
GA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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