Individual
CHARLEEN A SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 616-8072
(706) 812-2401
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 616-8072
(706) 812-2401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000922
GA
Other
Enumeration date
03/22/2012
Last updated
05/23/2014
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