| Queen Of Hearts Nutrition Llc | |
|
1115 Park Row South Se, Atlanta, GA 30312-3883 | |
| (540) 750-1879 | |
| Not Available |
| Full Name | Queen Of Hearts Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1115 Park Row South Se, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881341261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Heather Keyronica Petty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083369888 PECOS PAC ID: 4082080759 Enrollment ID: I20221118002086 |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Of Hearts Nutrition Llc 1115 Park Row South Se, Atlanta, GA 30312-3883 Ph: (540) 750-1879 | Queen Of Hearts Nutrition Llc 1115 Park Row South Se, Atlanta, GA 30312-3883 Ph: (540) 750-1879 |
Alexis Roberts, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2232 Dunseath Ave Nw Apt 413, Atlanta, GA 30318 Phone: 678-756-4091 | |
Nancy Olivia Taylor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-9465 | |
Ms. Christine Nicole Swafford, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Cleveland Ave Sw, Suite 516, Atlanta, GA 30315 Phone: 404-761-0819 Fax: 404-768-2336 | |
Shannon Leigh Davis, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 Boulevard Ne, Suite 332, Atlanta, GA 30312 Phone: 404-881-8020 | |
Savannah Brittany Duffy, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Johnson Fy Rd Ne Ste 350, Atlanta, GA 30342 Phone: 404-236-8036 | |
Lindsey Webb, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3644 Chamblee Tucker Rd, Atlanta, GA 30341 Phone: 410-370-0415 | |
Rachel D Agnew, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-6023 |