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Individual

MRS. BETH ANN KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CD, CDE

Contact information

Practice address
331 SADLER COVE DR, WOODBINE, GA 31569-3811
(912) 552-1478
Mailing address
331 SADLER COVE DR, WOODBINE, GA 31569-3811
(912) 552-1478

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
833022
IN

Other

Enumeration date
07/18/2005
Last updated
09/19/2012
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