Individual
DENICE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
500 LANIER AVE W, FAYETTEVILLE, GA 30214-7636
(404) 518-0918
Mailing address
5610 WISBECH WAY, ATLANTA, GA 30349-2778
(404) 518-0918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004067
GA
Other
Enumeration date
04/23/2016
Last updated
10/15/2020
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