Healthcare Provider Details

I. General information

NPI: 1619945482
Provider Name (Legal Business Name): SARAH GENDREAU BIGNOTTI RD, LD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 PLEASANT HILL RD SUITE 130
DULUTH GA
30096-1407
US

IV. Provider business mailing address

2650 HIGHBROOKE TRL
DULUTH GA
30097-2236
US

V. Phone/Fax

Practice location:
  • Phone: 678-584-7660
  • Fax: 678-584-7679
Mailing address:
  • Phone: 770-232-0815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1674
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: