Individual
VIRGINIA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CECES
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 281-6107
(229) 281-6097
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 281-6107
(229) 281-6097
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001136
GA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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