Individual
MS. DONNA H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,L.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033
(404) 321-6111
Mailing address
3549 OLD CHAMBLEE TUCKER RD, APT. D, ATLANTA, GA 30340
(770) 270-9926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000514
GA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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