Individual
MRS. KELLY GOULD HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDCES
Contact information
Practice address
5022 RIDGE OAK WALK SE, MABLETON, GA 30126-5922
(678) 357-8700
(323) 389-2890
Mailing address
5022 RIDGE OAK WALK SE, MABLETON, GA 30126-5922
(678) 357-8700
(323) 389-2890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002554
GA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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