Provider Demographics
NPI:1962876276
Name:PARISH, JULIE (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:PARISH
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 PINE SLOPE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6221
Mailing Address - Country:US
Mailing Address - Phone:678-521-4379
Mailing Address - Fax:
Practice Address - Street 1:2855 PINE SLOPE DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6221
Practice Address - Country:US
Practice Address - Phone:678-521-4379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002264133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered