Healthcare Provider Details

I. General information

NPI: 1255249785
Provider Name (Legal Business Name): NADEZHDA VARIGINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NADIA VARIGINA MS, RD, LS, NBC-HWC

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 HAMMOND DR APT 580
SANDY SPRINGS GA
30328-5862
US

IV. Provider business mailing address

1110 HAMMOND DR APT 580
SANDY SPRINGS GA
30328-5862
US

V. Phone/Fax

Practice location:
  • Phone: 470-331-0052
  • Fax:
Mailing address:
  • Phone: 470-331-0052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number007875
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: