Individual
SARAH TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST # BA-1565, AUGUSTA, GA 30912-0004
(706) 721-2389
Mailing address
1120 15TH ST # BA-1565, AUGUSTA, GA 30912-0004
(706) 721-2389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004343
GA
133VN1004X
Pediatric Nutrition Registered Dietitian
LD004343
GA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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