Individual
CASEY TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3155 BEECH DR, DECATUR, GA 30032-2400
(803) 646-8343
Mailing address
3155 BEECH DR, DECATUR, GA 30032-2400
(803) 646-8343
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005775
NC
Other
Enumeration date
06/04/2019
Last updated
01/07/2021
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