Individual provider · NPI-1

Carolyn S. Davis, MSM, RD, LD

Dietitian, Registered · Dublin, GA

NPI number1871602011
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1871602011
Entity type
Individual (NPI-1)
Name
Ms. Carolyn S. Davis
Credential
MSM, RD, LD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredLD000478GAYes

Practice location

1826 Veterans Blvd
Dublin, GA 31021-3620

Phone 478-272-1210 · Fax 478-277-2826

Mailing address

1826 Veterans Blvd
Dublin, GA 31021-3620

Phone 478-272-1210 · Fax 478-277-2826

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