Individual
MARY GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
206 S PATTERSON ST, VALDOSTA, GA 31601-5668
(229) 245-6565
Mailing address
500 MACK DR, VALDOSTA, GA 31602-1639
(229) 548-4402
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001789
GA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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