| Doctor Name: | ANGELO CAPOZZOLI |
| NPI Number: | 1235179797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD, CSR, LD |
| License Number: | LDN0000001874 |
| Business Practice Address: | 1462 Montreal Rd Suite 203 Tucker, GA - 300846929 |
| Business Phone Number: | 7706745458 |
| Business Fax Number: | 7706741871 |
| Mailing Address: | 1462 Montreal Rd, Suite 203 TUCKER |
| State: | GA |
| Postal Code: | 300846929 |
| Phone Number: | 7706745458 |
| Fax Number: | 7706741871 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LDN0000001874 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |