Individual
LINDA FULLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342-5000
(404) 257-9000
(404) 847-9792
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2208
(404) 888-7575
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003241
GA
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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