Individual
MS. CAROL ANN BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN LD
Contact information
Practice address
10475 MEDLOCK BRIDGE RD, SUITE 205, DULUTH, GA 30097-4433
(404) 409-1747
(404) 601-6018
Mailing address
10475 MEDLOCK BRIDGE RD STE 205, JOHNS CREEK, GA 30097-4446
(404) 409-1747
(404) 601-6018
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000373
GA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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