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Individual

RECBECCA ANN CARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
4200 NORTHSIDE PKWY NW STE 200, ATLANTA, GA 30327-3007
(770) 881-8020
(877) 787-7051
Mailing address
4200 NORTHSIDE PKWY NW STE 200, ATLANTA, GA 30327-3007
(770) 881-8020
(877) 787-7051

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004803
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133V00000X
TAXONOMY
GA
01
LD004803
STATE LICENSE
GA
Enumeration date
02/21/2019
Last updated
02/21/2019
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