NPI 1114498722

Audrey Grant, NDTR

Practitioner Registered Dietetic Technician Decatur, GA

Practice location

Address: 1670 Clairmont Rd Rm Gc217, Decatur, GA 30033-4004
Phone: (404) 321-6111
Mailing address: 3344 Chastain Gardens Dr NW, Kennesaw, GA 30144-3745

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in Georgia →

Registry record

NPI: 1114498722
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2018
Record last updated: 7 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.