MEDICARE: MRS. TATUM NOLAN MS, RDN

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	86172321	GA

General Provider Information

NPI Number	:	1023964947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TATUM NOLAN MS, RDN

Provider Business Mailing Address
First Line	:	1142 MORNINGSIDE PL NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-3060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 MORNINGSIDE PL NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-3060
Country	:	US
Telephone Number	:	404-520-8383
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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