Individual
KIMBERLY V TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
196 RIDGECREST CIR, CLAYTON, GA 30525-4111
(706) 782-4233
(706) 782-6451
Mailing address
5303 VAUGHN RD, MONTGOMERY, AL 36116-1120
(334) 386-0378
(337) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002241
GA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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