Healthcare Provider Details

I. General information

NPI: 1508582271
Provider Name (Legal Business Name): ALLISON SYKORA RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 PERIMETER CENTER EAST SUITE 640
DUNWOODY GA
30346
US

IV. Provider business mailing address

PO BOX 13289
DURHAM NC
27709
US

V. Phone/Fax

Practice location:
  • Phone: 770-871-3730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: