Individual
KELLI J O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
1475 HOLCOMB BRIDGE RD, SUITE 129, ROSWELL, GA 30076-2139
(678) 325-2250
(678) 325-2261
Mailing address
1475 HOLCOMB BRIDGE RD, SUITE 129, ROSWELL, GA 30076-2139
(678) 325-2250
(678) 325-2261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002749
GA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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