Organization
GREEN APPLE NUTRITION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILAM GANGWAL MS, RD, LD (REGISTERED DIETITIAN)
(678) 749-8634
Entity
Organization
Contact information
Practice address
5755 N POINT PKWY, SUITE 64, ALPHARETTA, GA 30022-1142
(678) 965-0119
Mailing address
8685 VALDERAMA DR, DULUTH, GA 30097-6649
(678) 749-8634
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
LD003621
GA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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