Individual
MS. KAREN L VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
6350 LAKE OCONEE PKWY, SUITE 102, PMB 89, GREENSBORO, GA 30642-6433
(706) 485-1298
Mailing address
6350 LAKE OCONEE PKWY, SUITE 102, PMB 89, GREENSBORO, GA 30642-6433
(706) 485-1298
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001664
GA
Other
Enumeration date
12/14/2007
Last updated
01/07/2014
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