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Individual

MS. FELECIA MATHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RD CDE

Contact information

Practice address
1905 7TH AVE, COLUMBUS, GA 31901-1563
(706) 507-7067
(706) 507-7068
Mailing address
5823 WILTSHIRE DR, COLUMBUS, GA 31909-4747
(706) 718-5421
(706) 322-7334

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
LD000107
GA
163WD0400X
Diabetes Educator Registered Nurse
09520320
GA

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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