Individual
CLAUDE MASK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2211
Mailing address
614 FLORENCE DR, AUBURN, AL 36830-5005
(706) 616-2944
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003990
GA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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