Individual
DORIS KATE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4315
(770) 962-1231
Mailing address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001416
GA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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