Individual
MISS REGINA ANNETTE KOSIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
909 SHINNECOCK HILLS LN APT 532, AUGUSTA, GA 30907-7416
(404) 247-5219
Mailing address
909 SHINNECOCK HILLS LN APT 532, AUGUSTA, GA 30907-7416
(404) 247-5219
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003332
GA
Other
Enumeration date
10/08/2008
Last updated
03/19/2018
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