Individual
MRS. DIPALI PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
2510 WOOD FERN LN, CUMMING, GA 30041-3439
(404) 783-6505
Mailing address
2510 WOOD FERN LN, CUMMING, GA 30041-3439
(404) 783-6505
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004726
GA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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