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

Individual provider Registered Dietitian · NPI 1376251074

Mary Novarah Mattiaccio, RD is a Registered Dietitian in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2726 Oak Village Trl
Decatur, GA 30032-6496
Phone: (707) 387-6643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD004495 (GA)

Record details

NPI number1376251074
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

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