Individual
JACQUELINE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004562
GA
Other
Enumeration date
05/04/2020
Last updated
06/23/2020
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