MRS. Carla Beth Clark, RD, LD, RN

NPI #1073892832 in Sandersville, Georgia

Provider Information

NPI Number
1073892832
Entity Type
Individual
Name
MRS. Carla Beth Clark, RD, LD, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD, LD, RN
Enumeration Date
Aug 11, 2011
Last Updated
Aug 11, 2011

Practice Location

Address
610 SPARTA RD
State
Georgia
ZIP Code
31082-1860
Phone
(478) 240-2181

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered
Registered Nurse

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