Individual
ANNA LEIGH BLEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
115 N MCDONOUGH ST STE A, DECATUR, GA 30030-3354
(770) 458-8711
Mailing address
10144 WINDALIER WAY, ROSWELL, GA 30076-1777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004986
GA
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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