Individual
TENA D DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
2180 OCONEE CONNECTOR, STE 105, ATHENS, GA 30606-5715
(706) 389-0192
Mailing address
65 DOUGLAS DRIVE, JEFFERSON, GA 30549
(706) 340-0327
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
810862
GA
Other
Enumeration date
06/08/2007
Last updated
02/23/2016
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