Individual
MRS. KATHERINE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9458
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002484
GA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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