Individual
MISS BRANDY ELISHER COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1631 CALLAWAY LOOP, CONYERS, GA 30012-3672
(404) 957-8828
Mailing address
125 PYRON PT, TYRONE, GA 30290-2363
(404) 915-3348
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
157648
GA
Other
Enumeration date
05/01/2007
Last updated
02/05/2015
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