Individual
MR. STOKELY KARL GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
2352 WILLOW SHADE LN, LOGANVILLE, GA 30052-5934
(770) 685-2152
Mailing address
2352 WILLOW SHADE LN, LOGANVILLE, GA 30052-5934
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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