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Individual

MIRANDA NICOLE PENDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
13190 HIGHWAY 92 STE 70-90, WOODSTOCK, GA 30188-4415
(770) 926-9495
Mailing address
13190 HIGHWAY 92 STE 70-90, WOODSTOCK, GA 30188-4415
(770) 926-9495

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006080
GA

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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