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1568242899
CARISSA INGRAM
ATLANTA, GA
NPI
1568242899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA 86326814)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
MS. CARISSA INGRAM RD, LD
35 COLLIER RD NW STE 775
ATLANTA, GA 30309-1608
Phone number: 404-609-5060
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Mailing Address
MS. CARISSA INGRAM RD, LD
2575 BETTY SUE DR
BUFORD, GA 30519-8204
Phone number: 404-901-2767
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