IndividualActive
Audrey Grant, NDTR
NPI 1114498722 · Registered Dietetic Technician · Decatur, GA
Provider details
- NPI number
- 1114498722
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- No
Practice location
1670 Clairmont Rd Rm Gc217
Decatur, GA 30033-4004
Phone: (404) 321-6111
Mailing address
3344 Chastain Gardens Dr Nw
Kennesaw, GA 30144-3745
Registry dates
- Enumerated
- 2018-12-07
- Last updated
- 2018-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.