Provider Demographics
NPI:1154743060
Name:DIGSBY, SOHAILLA (RD)
Entity type:Individual
Prefix:
First Name:SOHAILLA
Middle Name:
Last Name:DIGSBY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SOHAILLA
Other - Middle Name:MARIAM
Other - Last Name:MCKENDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:629 RONALD REAGAN DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7608
Mailing Address - Country:US
Mailing Address - Phone:706-868-0319
Mailing Address - Fax:706-868-3719
Practice Address - Street 1:629 RONALD REAGAN DR
Practice Address - Street 2:SUITE B
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-7608
Practice Address - Country:US
Practice Address - Phone:706-868-0319
Practice Address - Fax:706-868-3719
Is Sole Proprietor?:No
Enumeration Date:2014-01-11
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD003183133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered