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Individual

CARLY RAE MCGEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
5202 BETHEL REED PARK STE 100, COLUMBUS, OH 43220-1818
(614) 447-9495
Mailing address
5202 BETHEL REED PARK STE 100, COLUMBUS, OH 43220-1818
(614) 447-9495

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD7960
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86041140
COMMISSION ON DIETETIC REGISTRATION - ACADEMY OF NUTRITION AND DIETETICS
01
LD7960
THE OHIO BOARD OF DIETETICS
OH
Enumeration date
11/07/2016
Last updated
08/12/2020
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