Individual
KATHRYN BUSSEY FILIPIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
120 GORDON ST, WASHINGTON, GA 30673-1602
(706) 678-2151
(706) 678-3986
Mailing address
120 GORDON ST, WASHINGTON, GA 30673-1602
(706) 678-2151
(706) 678-3986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
988528
GA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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