Individual
ASHLYND GABRIELLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
951 SMALLEN RD, LYERLY, GA 30730-4513
(706) 622-0172
Mailing address
951 SMALLEN RD, LYERLY, GA 30730-4513
(706) 622-0172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD007280
GA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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