Kayla Perry, RDN, LD | |
330 Kennestone Hospital Blvd, Marietta, GA 30060-1121 | |
(770) 793-7300 | |
Not Available |
Full Name | Kayla Perry |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 330 Kennestone Hospital Blvd, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245894179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86009311 (Georgia) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Kayla Perry, RDN, LD 111 N Marietta Pkwy Ne Apt B206, Marietta, GA 30060-1484 Ph: (678) 314-0852 | Kayla Perry, RDN, LD 330 Kennestone Hospital Blvd, Marietta, GA 30060-1121 Ph: (770) 793-7300 |
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