Southeast Clinical Nutrition Centers, Inc.

NPI 1174532519 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1174532519
Enumeration Date 08/05/2006
Last Updated 03/03/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANGELO PETER ANGELO
Position PRESIDENT
Phone (678) 527-0800
Fax (678) 244-9010
Practice Location
5605 GLENRIDGE DR
SUITE 1050
ATLANTA GA, 30342-1365, US
Phone (678) 527-0800
Fax (678) 244-9010
Business Location
5605 GLENRIDGE DR
SUITE 1050
ATLANTA GA, 30342-1365, US
Phone (678) 527-0800
Fax (678) 244-9010
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Southeast Clinical Nutrition Centers, Inc. NPI is 1174532519, taxonomy code is 133V00000X Southeast Clinical Nutrition Centers, Inc. physically located at 5605 Glenridge Dr, Atlanta GA, 30342-1365. NPI Number 1033115704 has the healthcare provider type.

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1174532519 NPI number is provided on an as is basis without warranty of any kind. 1174532519 is maintained by the National Plan & Provider Enumeration System. The contents of Southeast Clinical Nutrition Centers, Inc. are for informational purposes only.