Individual
MS. MARTHA D. GRIMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
3191 CRESTMONT WAY NW, KENNESAW, GA 30152-4679
(770) 499-9319
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000219
GA
Other
Enumeration date
07/22/2006
Last updated
07/12/2007
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