Provider Demographics
NPI:1144569773
Name:COFFEE-DUNNING, KARLA (RDLD)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:
Last Name:COFFEE-DUNNING
Suffix:
Gender:F
Credentials:RDLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HAMPSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-1537
Mailing Address - Country:US
Mailing Address - Phone:404-435-8375
Mailing Address - Fax:
Practice Address - Street 1:17 HAMPSHIRE CT
Practice Address - Street 2:
Practice Address - City:AVONDALE ESTATES
Practice Address - State:GA
Practice Address - Zip Code:30002-1537
Practice Address - Country:US
Practice Address - Phone:404-435-8375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002860133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered