Individual
MRS. SHANA HOLLOWAY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9184
(770) 836-9148
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9184
(770) 836-9148
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003187
GA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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