Individual
MRS. SAREN PAIGE SPORTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1105 CHIPWOOD PATH, TUCKER, GA 30084-1434
(770) 723-1397
Mailing address
1105 CHIPWOOD PATH, TUCKER, GA 30084-1434
(770) 723-1397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002259
GA
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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