Willis, Connie Rae

Willis, Connie Rae is an individual health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6285. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Willis, Connie Rae can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904-6285
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00715070

Profile Details

NPI number 1235222894
LBN Legal business name Willis, Connie Rae
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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