Individual
MS. KACI BROOKE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
16 MARSHALL DR, DOUGLAS, GA 31535
(912) 309-4595
Mailing address
16 MARSHALL DR, DOUGLAS, GA 31535
(912) 309-4595
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005439
GA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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