Individual
KERIN TAMARA MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
2005 LAWRENCEVILLE SUWANEE RD STE 108, SUWANEE, GA 30024-2628
(678) 787-3058
Mailing address
1461 DORCHESTER DR, LAWRENCEVILLE, GA 30043-4354
(678) 787-3058
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/07/2024
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