Kathryn Tilley Derrick RD, LD

NPI 1194932624 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1194932624
Gender Female
Enumeration Date 05/16/2007
Last Updated 04/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
127 WC BRYANT PKWY
STE A
CALHOUN GA, 30701-2654, US
Phone (706) 629-4999
Fax (706) 629-4799
Business Location
127 WC BRYANT PKWY
STE A
CALHOUN GA, 30701-2654, US
Phone (706) 629-4999
Fax (706) 629-4799
Toxanomy
Taxonomy Code 133V00000X
License State Georgia
License Number LD003040
Remove 1194932624 NPI Number
 

According to our database, Mrs. Kathryn Tilley Derrick RD, LD NPI is 1194932624, taxonomy code is 133V00000X and license number is LD003040, license state is located at Georgia. Kathryn Tilley Derrick RD, LD physically located at 127 Wc Bryant Pkwy, Calhoun GA, 30701-2654. NPI Number Kathryn Tilley Derrick RD, LD has the Individual type.

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1194932624 NPI number is provided on an as is basis without warranty of any kind. 1194932624 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn Tilley Derrick RD, LD are for informational purposes only.