Individual
JESSICA KIVETT RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
610 S 8TH ST, SUITE C, GRIFFIN, GA 30224-4201
(770) 228-7394
(770) 233-5532
Mailing address
610 S 8TH ST, SUITE C, GRIFFIN, GA 30224-4201
(770) 228-7394
(770) 233-5532
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003540
GA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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