Individual
KIKI SMALLEY FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
309 BORGETTE CT, STOCKBRIDGE, GA 30281-9122
(770) 307-6690
Mailing address
309 BORGETTE CT, STOCKBRIDGE, GA 30281-9122
(770) 307-6690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002580
GA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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