Individual
CALA ELKINS DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 378-8189
(706) 238-8037
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128800A
—
GA
05
—
003128800B
—
GA
05
—
003128800E
—
GA
Enumeration date
09/13/2012
Last updated
02/07/2019
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