Individual
MARY ELIZABETH WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
19 REDMOND RD NW, ROME, GA 30165-1533
(706) 378-8129
(706) 238-8037
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002670
GA
Other
Enumeration date
01/12/2007
Last updated
07/09/2007
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