Individual
MRS. MARY C. GROOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5238 PEACHTREE RD, CHAMBLEE, GA 30341-2718
(770) 455-7602
Mailing address
5238 PEACHTREE RD, CHAMBLEE, GA 30341-2718
(770) 455-7602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003639
GA
Other
Enumeration date
01/03/2011
Last updated
04/18/2011
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