Gwenyth L Johnson RD, LD

NPI 1356512040 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1356512040
Gender Female
Enumeration Date 03/20/2008
Last Updated 03/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5238 PEACHTREE RD
CHAMBLEE GA, 30341-2718, US
Phone (770) 455-7602
Fax (770) 488-9285
Business Location
5238 PEACHTREE RD
CHAMBLEE GA, 30341-2718, US
Phone (770) 455-7602
Fax (770) 488-9285
Toxanomy
Taxonomy Code 133V00000X
License State Georgia
License Number LD002373
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According to our database, Gwenyth L Johnson RD, LD NPI is 1356512040, taxonomy code is 133V00000X and license number is LD002373, license state is located at Georgia. Gwenyth L Johnson RD, LD physically located at 5238 Peachtree Rd, Chamblee GA, 30341-2718. NPI Number Gwenyth L Johnson RD, LD has the Individual type.

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1356512040 NPI number is provided on an as is basis without warranty of any kind. 1356512040 is maintained by the National Plan & Provider Enumeration System. The contents of Gwenyth L Johnson RD, LD are for informational purposes only.