Addison, Sara Rose

Addison, Sara Rose is an individual health care provider with primary practice located at 601 Dallas Hwy , Villa Rica GA 30180-1202. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Addison, Sara Rose can be contacted via phone (770) 812-3249.

Contact Information

Primary practice address
601 Dallas Hwy Villa Rica GA 30180-1202
Phone: (770) 812-3249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003685 Georgia

Profile Details

NPI number 1073139994
LBN Legal business name Addison, Sara Rose
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2020
Last updated Jun 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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