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Individual

TIFFANY SPOONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD, CSG

Contact information

Practice address
3115 SEVEN PINES CT, UNIT 106, ATLANTA, GA 30339-5844
(434) 426-0067
Mailing address
3115 SEVEN PINES CT, UNIT 106, ATLANTA, GA 30339-5844
(434) 426-0067

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003220
GA

Other

Enumeration date
03/18/2017
Last updated
03/18/2017
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