Individual
CORINNE ROSE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9350
Mailing address
907 AUGUSTA DR SE, MARIETTA, GA 30067-8207
(334) 524-1406
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
005478
GA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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