Search › Georgia › 133V00000X
Deja Ivy, MS, RD , LD
NPI 1417770629 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1448 Jefferson Dr
Atlanta, GA 30350 - Phone
- (773) 891-6240
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia