Individual
ANN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/N, LD, CDE
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6228
(770) 931-6036
Mailing address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6228
(770) 931-6036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD000786
LD
GA
Enumeration date
07/09/2015
Last updated
07/09/2015
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