NPI 1730393067

Susan Herrlich Shacklett

Practitioner Registered Dietitian Dalton, GA

Practice location

Address: 808 Professional Blvd, Dalton, GA 30720-2536
Phone: (706) 281-2228
Mailing address: 801 Atkinson Dr, Dalton, GA 30720-3901

Registered specialties (3)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD002865 (GA)

Other Dietitian, Registered providers in Georgia →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1856 (TN)

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 47092D

Registry record

NPI: 1730393067
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2007
Record last updated: 8 Jul 2007

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.