Organization
MCG HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH TANKERSLEY (CLINICAL DIETITIAN)
(706) 721-2389
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2389
Mailing address
1710 APPLING HARLEM RD, APPLING, GA 30802-5411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004343
GA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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