Mrs Caitlin Russell, MS, RD, LD | |
1000 Johnson Ferry Rd Ste D125, Marietta, GA 30068-2113 | |
(404) 314-4014 | |
Not Available |
Full Name | Mrs Caitlin Russell |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1000 Johnson Ferry Rd Ste D125, Marietta, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104173061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD003912 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Caitlin Russell, MS, RD, LD 6275 Old Hickory Pt, Atlanta, GA 30328-3618 Ph: (404) 314-4014 | Mrs Caitlin Russell, MS, RD, LD 1000 Johnson Ferry Rd Ste D125, Marietta, GA 30068-2113 Ph: (404) 314-4014 |
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