Individual
KIMBERLY A BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, CDE
Contact information
Practice address
3154 PERIMETER PKWY, SUITE 2, AUGUSTA, GA 30909-4804
(706) 922-8283
(706) 854-0317
Mailing address
918 RIVER OAK DR, NORTH AUGUSTA, SC 29841-3282
(706) 922-8283
(706) 854-0317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1299
SC
133V00000X
Registered Dietitian
Primary
LD001544
GA
Other
Enumeration date
02/13/2017
Last updated
02/14/2017
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