Individual
MARIAH MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
790 SOUTH LUMPKIN ST, ATHENS, GA 30602-0001
(706) 542-4006
Mailing address
790 SOUTH LUMPKIN ST, ATHENS, GA 30602-3253
(706) 542-4006
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86103562
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86103562
COMMISSION ON DIETETIC REGISTRATION
GA
Enumeration date
06/22/2021
Last updated
08/03/2023
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