Individual
MS. KAREN WAPLES COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
5023 CONGRESSIONAL DR, MARTINEZ, GA 30907-7907
(706) 855-9361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10036971
AMERIGROUP
GA
01
—
310014
WELLCARE
GA
Enumeration date
09/13/2006
Last updated
07/09/2007
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