| Organization Name: | YOUR DIETITIAN LLC |
| NPI Number: | 1609104058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GENEVIEVE BROOMFIELD (CHIEF OPERATING OFFICER) |
| Mailing Address: | 2758 Felton Dr East Point |
| State: | GA US |
| Postal Code: | 303443604 |
| Phone Number: | 7703569468 |
| Fax Number: | 6785473156 |
| NPI Enumeration Date: | 11/23/2009 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD001151 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |