Individual
REBEKAH CATHERINE MACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4A COLLEGE PLZ, STATESBORO, GA 30458-4928
(912) 531-1225
Mailing address
4A COLLEGE PLZ, STATESBORO, GA 30458-4928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005161
GA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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