SearchGeorgia133V00000X

Katherine Nickless, RD LD

NPI 1245325554 · on the registry since 2006

Practice

Address
157 Clinic #203
Carrollton, GA 30117
Phone
(770) 832-0429
Fax
(770) 838-9108

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia