Individual
COURTNEY ELENA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
440 WINN WAY, DECATUR, GA 30030-1715
(404) 294-3762
(404) 508-7752
Mailing address
440 WINN WAY, DECATUR, GA 30030-1715
(404) 294-3762
(404) 508-7752
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LD003099
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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