Provider Demographics
NPI:1689285108
Name:NAVAEI, NEGIN (PHD, RDN, LD)
Entity type:Individual
Prefix:DR
First Name:NEGIN
Middle Name:
Last Name:NAVAEI
Suffix:
Gender:F
Credentials:PHD, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 HEATHERMOOR HILL DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6502
Mailing Address - Country:US
Mailing Address - Phone:770-426-2742
Mailing Address - Fax:
Practice Address - Street 1:2205 HEATHERMOOR HILL DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6502
Practice Address - Country:US
Practice Address - Phone:404-981-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD005160133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered