Individual
BETHANY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(309) 310-9393
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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