Street, Angela Michelle

Street, Angela Michelle is an sole proprietor health care provider with primary practice located at 103 Mercer Dr Ste B , Dublin GA 31021-4257. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Street, Angela Michelle can be contacted via phone (478) 274-3012.

Contact Information

Primary practice address
103 Mercer Dr Ste B Dublin GA 31021-4257
Fax: (478) 274-7719
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 876892 Georgia

Profile Details

NPI number 1457907958
LBN Legal business name Street, Angela Michelle
Credentials RDN, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2019
Last updated Aug 12th, 2019 - 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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