Individual
ANITA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2470 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(770) 603-3978
Mailing address
712 SHADOW LAKE DR, LITHONIA, GA 30058-6204
(770) 603-3978
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD001889
GA
174H00000X
Health Educator
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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