Individual
ROBIN STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
240 E BERKESHIRE CT, ATHENS, GA 30606-8405
(706) 546-7136
Mailing address
240 E BERKESHIRE CT, ATHENS, GA 30606-8405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002764
GA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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