Individual
MRS. CAROLYN DELOIS KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
250 AWENDAW CIR, ELLENWOOD, GA 30294-3268
(770) 987-1092
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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