Individual
MS. KELLY ANN FRANCKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2001 PROFESSIONAL PKWY, SUITE 200, WOODSTOCK, GA 30188-6442
(770) 516-0552
(770) 516-0554
Mailing address
227 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 720-7733
(770) 704-7732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000979756B
—
GA
05
—
000979756D
—
GA
01
—
LD002551
STATE LICENSE
GA
Enumeration date
10/02/2006
Last updated
09/09/2008
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