Provider Demographics
NPI:1942810304
Name:ATKINS, ROSALIND ROBINSON (RD)
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:ROBINSON
Last Name:ATKINS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 STILLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-7342
Mailing Address - Country:US
Mailing Address - Phone:678-773-4416
Mailing Address - Fax:678-762-1487
Practice Address - Street 1:510 STILLHOUSE LN
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-7342
Practice Address - Country:US
Practice Address - Phone:678-773-4416
Practice Address - Fax:678-762-1487
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002049133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered