Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fourth and Beech, Inc

Organization Registered Dietitian · NPI 1316392541

Fourth and Beech, Inc is a Registered Dietitian in Dunwoody, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5475 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4114
Phone: (678) 379-1300
Fax: (678) 802-3209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 56363 (GA)
Registered Dietitian Taxonomy 133V00000X · Licence LD004684 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN108447 (GA)

Record details

NPI number1316392541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ikusuke Nakada — Ceo/Owner · (404) 229-9048
Other names Medi-Weightloss
NPI enumeratedApril 25, 2016
Last updated in NPPESJuly 19, 2016
Mailing address5024 Vernon Springs Dr, Dunwoody, GA 30338-4653

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