Amy N Roark, L..D.

NPI #1699771311 in Gainesville, Georgia

Provider Information

NPI Number
1699771311
Entity Type
Individual
Name
Amy N Roark, L..D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
L..D.
Enumeration Date
Jun 27, 2005
Last Updated
Aug 2, 2010

Practice Location

Address
1240 JESSE JEWELL PKWY SE
Address 2
SUITE 500
State
Georgia
ZIP Code
30501-3862
Phone
(770) 536-9864

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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