Individual
DANIELLE LIANE DUNNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004694
GA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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