Provider Demographics
NPI:1922864545
Name:HOLCOMB, SHEILA GAYE (RD, LD, CDCES)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:GAYE
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:RD, LD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 ASHEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-7579
Mailing Address - Country:US
Mailing Address - Phone:615-828-4036
Mailing Address - Fax:
Practice Address - Street 1:242 ASHEVILLE DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-7579
Practice Address - Country:US
Practice Address - Phone:615-828-4036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD001013133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered