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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CARLA BETH CLARK, RD, LD, RN

Active Sole Proprietor

MRS. CARLA BETH CLARK, RD, LD, RN is a Registered Dietitian healthcare provider located in SANDERSVILLE, Georgia. NPI 1073892832 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · SANDERSVILLE, GA

Registration Details

NPI Number
1073892832
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2011 (14.968870831489 yrs)
Last Updated
Aug 11, 2011
Licenses
LD002458 (GA)
RN207257 (GA)
Sole Proprietor
Yes

Practice Information

Address
610 SPARTA RD
SANDERSVILLE, GA, 310821860
Browse GA providers · Browse ZIP 31082
Phone
4782402181
Fax
4782402020
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Nurse

Other Registered Dietitian Providers in SANDERSVILLE, GA

Name Credential NPI
MRS. BRITTANY MITCHELL MOMENT MS, RDN, LD 1356948293
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.