Individual
RENEE MITCHELL SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
365 DOMINIQUE CT, FAYETTEVILLE, GA 30214-5483
(404) 268-7197
Mailing address
365 DOMINIQUE CT, FAYETTEVILLE, GA 30214-5483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006953
GA
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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