Provider Demographics
NPI:1821493842
Name:CURLETTE, CATHERINE TOLAN (MPH, RDN, LD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:TOLAN
Last Name:CURLETTE
Suffix:
Gender:F
Credentials:MPH, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 MOHICAN TRL
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-5259
Mailing Address - Country:US
Mailing Address - Phone:404-296-8681
Mailing Address - Fax:
Practice Address - Street 1:1255 MOHICAN TRL
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-5259
Practice Address - Country:US
Practice Address - Phone:404-296-8681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0679133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered