Individual
SUSANNE MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2678 HUMMINGBIRD DR NW, DULUTH, GA 30096-3998
(770) 232-2616
Mailing address
2678 HUMMINGBIRD DR NW, DULUTH, GA 30096-3998
(770) 232-2616
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005695
GA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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