Individual
HOLLY NORWOOD SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8690
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002637
GA
Other
Enumeration date
06/17/2010
Last updated
01/23/2017
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