Tep-Rutkowski, Poutheavy Lat
Tep-Rutkowski, Poutheavy Lat is an individual health care provider with primary practice located at 2295 Ronald Reagan Pkwy Ste 300 , Snellville GA 30078-5739. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tep-Rutkowski, Poutheavy Lat can be contacted via phone (770) 982-4115.Contact Information
Primary practice address
2295 Ronald Reagan Pkwy Ste 300
Snellville GA 30078-5739
Phone: (770) 982-4115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86296100 | Georgia |
Profile Details
| NPI number | 1568148948 |
|---|---|
| LBN Legal business name | Tep-Rutkowski, Poutheavy Lat |
| Credentials | MS, RD, LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2023 |
| Last updated | Jun 22nd, 2023 - about 2 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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