Individual
MRS. LISA MARIE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDCES
Contact information
Practice address
840 PINE ST, MACON, GA 31201-2100
(478) 633-1531
(478) 633-5141
Mailing address
422 BRANTLEY RDG, WARNER ROBINS, GA 31088-2577
(478) 973-0498
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001352
GA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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