Individual
JANIS M. VERDEROSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
4125 PARAN POINTE DR NW, ATLANTA, GA 30327-3128
(973) 943-3684
Mailing address
4125 PARAN POINTE DR NW, ATLANTA, GA 30327-3128
(973) 943-3684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005023
GA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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