Individual
MRS. GEORGIA FLETCHER BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD,CSO
Contact information
Practice address
211 SMITH ST, SHERIDAN, WY 82801-3818
(307) 752-8213
(307) 675-1866
Mailing address
66 BOX CROSS RD, SHERIDAN, WY 82801-9020
(307) 752-8213
(307) 675-1866
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
084
WY
133V00000X
Registered Dietitian
87227
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156924
—
WY
Enumeration date
08/22/2013
Last updated
05/21/2021
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