Individual
MARY SLATE DYGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4045 ORCHARD RD SE, SMYRNA, GA 30080-4902
(404) 314-0900
Mailing address
4045 ORCHARD RD SE STE 230, SMYRNA, GA 30080-4905
(770) 693-8618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005254
GA
Other
Enumeration date
05/29/2021
Last updated
06/02/2025
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