MEDICARE: SARAH RAY HEALY M.S., R.D., L.D.N.

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	L004415	NC
2	133V00000X	Registered Dietitian	LD004826	GA

General Provider Information

NPI Number	:	1811385875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH RAY HEALY M.S., R.D., L.D.N.

Provider Business Mailing Address
First Line	:	6130 MOUNTAINWELL DR
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-7309
Country	:	US
Telephone Number	:	727-239-1480
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 ABBEY CT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-6017
Country	:	US
Telephone Number	:	678-554-7576
Fax Number	:

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

Provider Enumeration Date	:	12/29/2014
Last Update Date	:	05/08/2023

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