Individual
KELSEY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 624-6910
Mailing address
501 SYBIL LN SE, MARIETTA, GA 30067-7049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004449
GA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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