Individual
MRS. TANNA SMITH PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060-1155
(770) 427-7389
(770) 427-1492
Mailing address
217 S SEQUOYA DR, WOODSTOCK, GA 30188-1744
(770) 928-1390
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD000243
GA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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