Provider Demographics
NPI:1275044349
Name:HUNTER, KAREN L (RDN, LD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 ASHBURY LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-5993
Mailing Address - Country:US
Mailing Address - Phone:770-315-5576
Mailing Address - Fax:
Practice Address - Street 1:5950 ASHBURY LN
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-5993
Practice Address - Country:US
Practice Address - Phone:770-315-5576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-17
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD001623133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered