Doctor Name: | MARLA STROMBERG |
NPI Number: | 1275805475 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | LD002674 |
Business Practice Address: | 102 Mirramont Lake Dr Woodstock, GA - 301898213 |
Business Phone Number: | 4044326269 |
Business Fax Number: | |
Mailing Address: | 515 Millside Trl, CANTON |
State: | GA |
Postal Code: | 301142037 |
Phone Number: | 4044316269 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2012 |
NPI Last Update Date: | 02/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |