Individual
REBECCA JANE MCKEMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003364
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD003364
LICENSE
GA
Enumeration date
07/24/2009
Last updated
07/24/2009
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