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Contact Information

PEA POD NUTRITION AND LACTATION SUPPORT
1164 N HIGHLAND AVE NE
ATLANTA, GA30306
 Phone: 678-607-6052
 Fax:
 Website: https://www.peapodnutrition.org/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for PEA POD NUTRITION AND LACTATION SUPPORT

NPI Number 1396183190
LBN Legal business name PEA POD NUTRITION AND LACTATION SUPPORT
Authorized official ALICIA SIMPSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2013
Last updated 06/13/2013 - About 13 years ago
Identifiers
GA License # LD004064
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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