Individual
MS. SHAUNTEL LENORA RAGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9147
Mailing address
170 MILLWHEEL DR, VILLA RICA, GA 30180-6936
(678) 621-4877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002793
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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