Individual
MRS. LERA BETHANY BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
138 W GIBSON ST, HARTWELL, GA 30643-1847
(706) 856-6245
Mailing address
138 W GIBSON ST, HARTWELL, GA 30643-1847
(706) 856-6245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002511
GA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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