Individual
MS. SALLY D. LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., M.S.A.
Contact information
Practice address
107 MEDICAL DR, LAGRANGE, GA 30240-4137
(706) 845-4035
Mailing address
7727 HILLDALE DR, COLUMBUS, GA 31909-1627
(706) 660-0100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1967
GA
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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