Individual
MOLLY MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
4536 BARCLAY DR, ATLANTA, GA 30338-5802
(770) 458-8711
(770) 458-8640
Mailing address
4536 BARCLAY DR, ATLANTA, GA 30338-5802
(770) 458-8711
(770) 458-8640
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LD002656
GA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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