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Individual

AMANDA PENCEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305-2372
(470) 419-4380
Mailing address
1577 ARCHER ST SW, ATLANTA, GA 30314-2209

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005601
GA

Other

Enumeration date
07/07/2022
Last updated
07/07/2022
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