Individual
MS. KELLY A DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL, PHARMACY DEPART, NUTRITION SUPPORT, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL, PHARMACY DEPART, NUTRITION SUPPORT, ATLANTA, GA 30342-1606
(404) 851-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002630
GA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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