Individual
LYDIA AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 287-4271
(912) 338-6400
Mailing address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 287-4271
(912) 338-6400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006433
NY
Other
Enumeration date
06/03/2009
Last updated
05/20/2015
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