Healthcare Provider Details

I. General information

NPI: 1437303369
Provider Name (Legal Business Name): HOOD HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 DOCKBRIDGE WAY
MILTON GA
30004-3785
US

IV. Provider business mailing address

855 DOCKBRIDGE WAY
MILTON GA
30004-3785
US

V. Phone/Fax

Practice location:
  • Phone: 770-366-0709
  • Fax: 770-674-4048
Mailing address:
  • Phone: 770-366-0709
  • Fax: 770-674-4048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberLD002104
License Number StateGA

VIII. Authorized Official

Name: DIANE HOOD
Title or Position: OWNER
Credential:
Phone: 770-366-0709