Individual
MRS. STACY ANN PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6674 CADENCE BLVD, ATLANTA, GA 30328-2874
(404) 937-3338
(404) 777-6469
Mailing address
1061 WHISPERING LAKES TRL, MADISON, GA 30650-6325
(678) 773-1853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002157
GA
Other
Enumeration date
12/01/2008
Last updated
03/21/2024
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