NPI 1366131435

Amy B Boehm, RDLD

Practitioner Registered Dietitian Canton, GA

Practice location

Address: 148 Staddlebridge Ave, Canton, GA 30114-6624
Phone: (678) 361-1125

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD001349 (GA)

Other Dietitian, Registered providers in Georgia →

Registry record

NPI: 1366131435
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2023
Record last updated: 4 May 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.