Individual
MRS. CARIE MARIE MEDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
642 BRYAN ST SE, ATLANTA, GA 30312-3309
(404) 683-4987
Mailing address
642 BRYAN ST SE, ATLANTA, GA 30312-3309
(404) 683-4987
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
LD003873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
GA
Enumeration date
12/30/2019
Last updated
12/30/2019
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