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Individual

MICHELLE MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1365 CLIFTON RD NE BLDG A, ATLANTA, GA 30322-1013
(404) 778-4108
Mailing address
3660 KILPATRICK CT, SNELLVILLE, GA 30039-8622
(786) 260-5758

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDA004431
GA

Other

Enumeration date
05/16/2019
Last updated
04/12/2026
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