Individual
AMY N ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L..D.
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501-3862
(770) 536-9864
(770) 297-5023
Mailing address
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501-3862
(770) 536-9864
(770) 297-5023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/27/2005
Last updated
08/02/2010
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