Individual
BARBARA EUTSEY OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 ORCHARD RD SE STE 230, SMYRNA, GA 30080-4905
(770) 693-8618
Mailing address
2100 TOWNE MANOR DR NW, KENNESAW, GA 30144-2931
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004671
GA
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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