Provider Demographics
NPI:1063870475
Name:CASPER, MARGARET CATHERINE (RD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:CATHERINE
Last Name:CASPER
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1093 AUSTIN AVE NE
Mailing Address - Street 2:UNIT 3
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-1970
Mailing Address - Country:US
Mailing Address - Phone:630-947-3142
Mailing Address - Fax:
Practice Address - Street 1:201 MARTHA AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30317-1414
Practice Address - Country:US
Practice Address - Phone:630-947-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD004118133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALD004118OtherLICENSED DIETITIAN