Individual
LAUREL CHANNELL GUNNELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030
(404) 508-7957
(404) 508-7752
Mailing address
445 WINN WAY, DECATUR, GA 30030
(404) 508-7957
(404) 508-7752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD951844
GA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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