Individual
MRS. STEPHANIE BROCK NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4307
Mailing address
1121 JUREE LN, DONALSONVILLE, GA 39845-7232
(229) 758-4307
(229) 758-6346
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002882
GA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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