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ATLANTA PEDIATRIC NUTRITION INC. NPI 1558096479


NPI Information

NPI: 1558096479
Provider Name: ATLANTA PEDIATRIC NUTRITION, INC.
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Organization

Specialization: Nutrition, Pediatric

Address:
140 ROCKY CREEK TRL
WOODSTOCK, GA
ZIP 30188
Phone: (404) 543-3897
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ATLANTA PEDIATRIC NUTRITION, INC. is a nutrition and pediatric dietitian registered in Woodstock, GA. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. ATLANTA PEDIATRIC NUTRITION, INC. NPI is 1558096479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 ROCKY CREEK TRL
WOODSTOCK, GA
ZIP 30188-246
Phone: (404) 543-3897
Fax: (404) 745-0808

The provider's authorized official is Helen Bailey Koch .
The authorized official title is President and has the following contact phone number (404) 543-3897.

The enumeration date for this NPI number is 7/24/2022 and was last updated on 7/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1004XDietitian, RegisteredNutrition, PediatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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