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Individual

LAUREN MONTEON HOLDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
3815 HARRISON RD, LOGANVILLE, GA 30052-2462
(770) 466-6112
Mailing address
345 AMERBROOK CIRCLE, GRAYSON, GA 30017
(770) 853-0034

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005328
GA

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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