Individual
KRISTEN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Contact information
Practice address
1446 HARPER ST, BP-3252, AUGUSTA, GA 30912-0012
(706) 721-2389
Mailing address
1446 HARPER ST, BP-3252, AUGUSTA, GA 30912-0012
(706) 721-2389
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
949651
GA
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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