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Individual

REBECCA VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD, CLC

Contact information

Practice address
100 ZENA DR, 100 ZENA DRIVE, CARTERSVILLE, GA 30121-2482
(770) 382-1920
(770) 387-3999
Mailing address
100 ZENA DR, P. O. BOX 665, CARTERSVILLE, GA 30121-2482
(770) 382-1920
(770) 387-3999

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000436
GA

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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