Organization
MODERATION IS THE KEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKKI S HALIPILIAS RD (REGISTERED DIETITIAN)
(404) 274-4414
Entity
Organization
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(404) 274-4414
Mailing address
801 WOODCLIFF DR, ATLANTA, GA 30350-3163
(404) 274-4414
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/20/2024
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