Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Carla Beth Clark, RD, LD, RN

Individual provider Registered Dietitian · NPI 1073892832

Mrs. Carla Beth Clark, RD, LD, RN is a Registered Dietitian in Sandersville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

610 Sparta Rd
Sandersville, GA 31082-1860
Phone: (478) 240-2181
Fax: (478) 240-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD002458 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN207257 (GA)

Record details

NPI number1073892832
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , RN
Sole proprietorYes
NPI enumeratedAugust 11, 2011
Last updated in NPPESAugust 11, 2011

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