Provider Demographics
NPI:1235147356
Name:HOOD, DIANE MARY (RD,CDE, ACSM CES)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:MARY
Last Name:HOOD
Suffix:
Gender:F
Credentials:RD,CDE, ACSM CES
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:MARY
Other - Last Name:DEPEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, ACSM EX SPEC
Mailing Address - Street 1:855 DOCKBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3785
Mailing Address - Country:US
Mailing Address - Phone:770-619-0042
Mailing Address - Fax:
Practice Address - Street 1:855 DOCKBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3785
Practice Address - Country:US
Practice Address - Phone:770-619-0042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002104133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic