Individual
SANDRA K KILLAM-HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN LDN
Contact information
Practice address
2174 SUMMERCHASE DR, WOODSTOCK, GA 30189-8169
(678) 478-8733
Mailing address
2174 SUMMERCHASE DR, WOODSTOCK, GA 30189-8169
(678) 478-8733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001154
GA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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