Individual
MARY JACQUELINE CHARLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1497 FAIR RD STE 200, STATESBORO, GA 30458-0824
(912) 871-7100
Mailing address
3015 MCCALL BLVD, STATESBORO, GA 30461-4922
(319) 594-5695
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
899879
GA
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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