Individual
MRS. CHRISTEN SIMONE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1395 RAVEN ROCK TRL NW, KENNESAW, GA 30152-7690
(770) 714-5155
Mailing address
1395 RAVEN ROCK TRL NW, KENNESAW, GA 30152-7690
(770) 714-5155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003253
GA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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