Individual
MRS. SALLY JACKSON BROZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
1968 PEACHTREE RD NW, BUILDING 77, ATLANTA, GA 30309-1281
(404) 605-3828
(404) 350-0380
Mailing address
433 SUPERIOR AVE, DECATUR, GA 30030-1402
(404) 605-3828
(404) 350-0380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000987
GA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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