Individual
KATIE BREWER MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EDGEWOOD AVE NE, SUITE 1004, ATLANTA, GA 30303-3026
(404) 527-7150
Mailing address
100 EDGEWOOD AVE NE, SUITE 1004, ATLANTA, GA 30303-3026
(404) 527-7150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003808
GA
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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