Individual
MRS. KYLIA BUTLER CRANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
122A GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5740
(706) 245-4035
(706) 245-4039
Mailing address
8805 EDENTON WAY, JONESBORO, GA 30238-4499
(770) 603-9204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002588
GA
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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