Individual
KAREN LEE PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
8203 HAZELBRAND RD NE, COVINGTON, GA 30014-1510
(770) 786-9086
(770) 786-0715
Mailing address
2570 RIVERSIDE PKWY., P.O. BOX 897, LAWRENCEVILLE, GA 30045
(770) 339-4260
(770) 339-4297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001340
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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