NPI 1104691476

Mary Virginia Coffman, MSCNSLDNLN

Practitioner Nutritionist Atlanta, GA

Practice location

Address: 1110 E Club Ln NE, Atlanta, GA 30319-1132
Phone: (404) 919-0602
Fax: (404) 467-4167

Registered specialties (2)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in Georgia →

Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Registry record

NPI: 1104691476
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2023
Record last updated: 16 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.