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Individual

MCKENZIE GRACE MADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
1160 JOHNSON FERRY RD UNIT 1472, SANDY SPRINGS, GA 30342-2351
(239) 357-1440

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD007693
GA

Other

Enumeration date
06/12/2025
Last updated
06/12/2025
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