Carly Adriana Clark, RDN Valid NPI

Individual provider · Registered Dietitian · Augusta, GA

NPI

1083563704

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

LD007080 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2026-01-26

Last updated

2026-01-26