Individual
MS. HOLLY L. ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETITIAN
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 259-4630
(229) 259-4925
Mailing address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 259-4630
(229) 259-4925
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003205
GA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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