IndividualActive
Angelo Capozzoli, RD, CSR, LD
NPI 1235179797 · Renal Nutrition Registered Dietitian · Tucker, GA
Provider details
- NPI number
- 1235179797
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSR, LD
- Sex
- Male
- Sole proprietor
- No
- License
- LD001724 (GA)
Practice location
1462 Montreal Rd
Suite 203
Tucker, GA 30084-6929
Phone: (770) 674-5458
Fax: (770) 674-1871
Mailing address
1462 Montreal Rd
Tucker, GA 30084-6929
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2007-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.