Individual
MRS. CAITLIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1000 JOHNSON FERRY RD STE D125, MARIETTA, GA 30068-2113
(404) 314-4014
Mailing address
6275 OLD HICKORY PT, ATLANTA, GA 30328-3618
(404) 314-4014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003912
GA
Other
Enumeration date
08/10/2012
Last updated
10/24/2024
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