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Individual

MRS. PAMELA FRAZIER SHAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD/LD

Contact information

Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(404) 218-6415
Mailing address
5810 LAKE HEIGHTS CIR, JOHNS CREEK, GA 30022-5692
(404) 218-6415

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001063
GA

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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