| Doctor Name: | GEORGIA CLARK-ALBERT |
| NPI Number: | 1740510759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS RD LD CDE |
| License Number: | DI426 |
| Business Practice Address: | 900 Broadway Bldg 1 Bangor, ME - 044011900 |
| Business Phone Number: | 2079071187 |
| Business Fax Number: | 2079071189 |
| Mailing Address: | Po Box 934, BANGOR |
| State: | ME |
| Postal Code: | 044020934 |
| Phone Number: | 2079071187 |
| Fax Number: | 2079071189 |
| NPI Enumeration Date: | 01/14/2010 |
| NPI Last Update Date: | 07/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DI426 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |