Provider Demographics
NPI:1427684182
Name:MCCAIN, ANNA HUFFMAN (RD, LD, CDCES)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:HUFFMAN
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:RD, LD, CDCES
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:ELIZABETH
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD, CDCES
Mailing Address - Street 1:1359 MICHAEL WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6270
Mailing Address - Country:US
Mailing Address - Phone:770-313-9629
Mailing Address - Fax:
Practice Address - Street 1:3825 MEDICAL PARK DR STE 200
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-6831
Practice Address - Country:US
Practice Address - Phone:470-956-3677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD005305133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered