Individual
MRS. BRIANA DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-6576
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-6576
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD00508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD00508
TRICARE
GA
Enumeration date
01/04/2022
Last updated
01/04/2022
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