Individual
KELSEY SHEPPERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1579 MACLAND RD, DALLAS, GA 30157-1151
(404) 451-3633
Mailing address
1579 MACLAND RD, DALLAS, GA 30157-1151
(404) 451-3633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004442
GA
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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