Individual
EMILIE ELISABETH KOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
704 WOODWARD CT, CANTON, GA 30114-1501
(678) 371-1910
Mailing address
1201 W PEACHTREE ST NW STE 2625, ATLANTA, GA 30309-3499
(678) 371-1910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.011134
IL
133V00000X
Registered Dietitian
2947
AL
133V00000X
Registered Dietitian
Primary
LD004598
GA
Other
Enumeration date
05/03/2021
Last updated
03/27/2025
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