Individual
SUSANNAH LEE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1420 CIMARRON PKWY, SANDY SPRINGS, GA 30350-6859
(770) 639-9529
Mailing address
1420 CIMARRON PKWY, SANDY SPRINGS, GA 30350-6859
(770) 639-9529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004757
GA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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