Organization
THE GEORGIA RENAL DIETITIAN LLC
Active
Other names
The Georgia Renal Dietitian LLC, The Georgia Renal Dietitian
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA YVONNE MORTON MS,RD,CSR,LD,CNSC (OWNER/DIETITIAN)
(404) 387-4992
Entity
Organization
Contact information
Practice address
2108 BROOKHAVEN VIEW NE, ATLANTA, GA 30319-3195
(678) 665-1244
Mailing address
2108 BROOKHAVEN VIEW NE, APT 2108, ATLANTA, GA 30319-3195
(404) 387-4992
(404) 506-9770
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821693177
NPI
GA
Enumeration date
12/31/2020
Last updated
03/21/2021
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