Doctor Name: | KATHERINE FOLEY |
NPI Number: | 1003291766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD LD CDE |
License Number: | 885872 |
Business Practice Address: | 2470 Mount Zion Pkwy Jonesboro, GA - 302362500 |
Business Phone Number: | 7706033978 |
Business Fax Number: | |
Mailing Address: | 2470 Mount Zion Pkwy, JONESBORO |
State: | GA |
Postal Code: | 302362500 |
Phone Number: | 7706033978 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2015 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | 885872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |