Connie Rae Willis, R.D. Valid NPI

Individual provider · Registered Dietitian · Augusta, GA

NPI

1235222894

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

00715070

Sex

Female

Sole proprietor

No

Enumerated

2006-10-02

Last updated

2007-07-08