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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHERINE S NICKLESS, RD LD

Active

Registered Dietitian · CARROLLTON, GA

Registration Details

NPI Number
1245325554
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2006 (19.591511357066 yrs)
Last Updated
Jul 8, 2007
License
LD002692 (GA)

Practice Information

Address
157 CLINIC #203
CARROLLTON, GA, 30117
Browse GA providers · Browse ZIP 30117
Phone
7708320429
Fax
7708389108
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in CARROLLTON, GA

Name Credential NPI
MRS. JESSICA GREER ZOMBEK RD, LD 1508859992
ANNE MARIE MCGEE RD, LD, CDCES 1821137209
MS. HOLLY HASLAM GARNER MS, RD, LD 1639381288
MS. SHAUNTEL LENORA RAGLAND M.S., R.D., L.D. 1366652877
MRS. PAULA EVANS HOGAN RD, LD 1295924868
MRS. SHANA HOLLOWAY SANDERS RD, LD 1316269327
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.