Individual
MS. CHERYL GRANT ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3300
Mailing address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
LD003901
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD003901
GA BOARD OF EXAMINERS OF LICENSED DIETITIAN
GA
Enumeration date
02/14/2013
Last updated
09/29/2025
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