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1861695082
BEVERLY BRAY FORD
AUGUSTA, GA
NPI
1861695082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: GA LD000488)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Ms. BEVERLY BRAY FORD RD, LD
1511 ANTHONY RD
AUGUSTA, GA 30904-4821
Phone number: 706-731-0117
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Mailing Address
Ms. BEVERLY BRAY FORD RD, LD
2425 WILLIAMS ST
AUGUSTA, GA 30904-6127
Phone number: 706-589-1582
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