Individual
AMBER ROSE FENTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1465 LANEY WALKER BLVD # 1040, AUGUSTA, GA 30912-0002
(706) 721-3448
Mailing address
1106 BROAD ST APT G, AUGUSTA, GA 30901-1118
(812) 719-9619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005126
GA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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