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Individual
RECBECCA ANN CARNEY
Active
Individual
RECBECCA ANN CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004803
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133V00000X
TAXONOMY
GA
01
—
LD004803
STATE LICENSE
GA
Enumeration date
02/21/2019
Last updated
02/21/2019
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