Individual
AMY O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-0005
(703) 585-5787
Mailing address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX4446
MD
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2018
Last updated
03/12/2024
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