Individual
ALICE KEMP CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, RN
Contact information
Practice address
993 JOHNSON FERRY RD # D, ATLANTA, GA 30342-1620
(404) 236-8036
(404) 236-8267
Mailing address
1682 TAILMORE LN, LAWRENCEVILLE, GA 30043-7864
(678) 462-2489
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004478
GA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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