Individual
OLIVIA KATELYN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
118 BROOKSTONE DR, CARROLLTON, GA 30116-4935
(678) 446-4952
Mailing address
118 BROOKSTONE DR, CARROLLTON, GA 30116-4935
(678) 446-4952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD007297
GA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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