Organization
KIDNEY FOODIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GLEASON RDN (OWNER)
(404) 436-3363
Entity
Organization
Contact information
Practice address
810 SCOTT CIR, DECATUR, GA 30033-4717
(404) 436-3363
Mailing address
PO BOX 246, SCOTTDALE, GA 30079-0246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
01/12/2023
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