MEDICARE: MRS. MARISA WOODWARD RDN. LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1508602475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARISA WOODWARD RDN. LD

Provider Business Mailing Address
First Line	:	2281 AKERS MILL RD SE APT 2311
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2647
Country	:	US
Telephone Number	:	706-304-6536
Fax Number	:

Provider Business Practice Location Address
First Line	:	2281 AKERS MILL RD SE APT 2311
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2647
Country	:	US
Telephone Number	:	706-304-6536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	11/21/2024

Similar Medicare Providers

1487811154 — SAVCO HEALTHCARE & STAFFING SOLUTIONS, LLC
Practice Location Address:

228 AUBURN AVE NE , C/O SMG
ATLANTA, GA
30303-2647

Practice Phone: 877-571-6658
Practice Fax: 832-365-7977

1780984518 — LOIS SPENCER CCC-SLP
Practice Location Address:

2647 PAUL AVE NW
ATLANTA, GA
30318-1136

Practice Phone: 404-983-3529
Practice Fax: 404-799-9128

1457783466 — MRS. LESLIE PATE MACKINNON LESLIE MACKINNON
Practice Location Address:

1836 WALTHALL DR NW
ATLANTA, GA
30318-2647

Practice Phone: 404-603-5335
Practice Fax:

1366051518 — ALISSA NICOLE GLOWACKI M.S., CCC-SLP
Practice Location Address:

44 KROG ST NE UNIT 338
ATLANTA, GA
30307-2647

Practice Phone: 919-995-2503
Practice Fax:

1184313702 — SHAMROCK PROSTHETICS INC
Practice Location Address:

2647 BUFORD HWY NE
ATLANTA, GA
30324-3239

Practice Phone: 706-850-4544
Practice Fax: 706-622-6556

1518891456 — SARAH J PIERCE
Practice Location Address:

2727 PACES FERRY RD SE BLDG 2
ATLANTA, GA
30339-4053

Practice Phone: 404-991-2638
Practice Fax: 404-738-1730

Directions to “ MRS. MARISA WOODWARD RDN. LD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.