Individual
GREGORY LAFORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
947 SALISBURY TRL, RIVERDALE, GA 30296-1549
(404) 509-1195
Mailing address
947 SALISBURY TRL, RIVERDALE, GA 30296-1549
(404) 509-1195
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86090190
GA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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