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Individual

MRS. KATHRYN TILLEY DERRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
150 JW PLAZA DR SE, CALHOUN, GA 30701-1500
(706) 629-4999
(706) 629-4799
Mailing address
150 JW PLAZA DR SE, CALHOUN, GA 30701-1500
(706) 629-4999
(706) 629-4799

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003040
GA

Other

Enumeration date
05/16/2007
Last updated
01/12/2026
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