Individual
ANGELA YVONNE MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSR, LD
Contact information
Practice address
2108 BROOKHAVEN VIEW NE, ATLANTA, GA 30319-3195
(404) 735-5433
Mailing address
2108 BROOKHAVEN VIEW NE, ATLANTA, GA 30319-3195
(404) 735-5433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004144
GA
133VN1005X
Renal Nutrition Registered Dietitian
LD004144
GA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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