Individual
MICHELLE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RDN
Contact information
Practice address
1111 BAXTER CT, STATHAM, GA 30666-3459
(678) 787-3223
Mailing address
1111 BAXTER CT, STATHAM, GA 30666-3459
(678) 787-3223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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