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Individual
MARISA WOODALL SMITH
Active
Individual
MARISA WOODALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
167733
KY
133V00000X
Registered Dietitian
Primary
3119
TN
133V00000X
Registered Dietitian
4093
AL
133V00000X
Registered Dietitian
LD006164
GA
Other
Enumeration date
08/31/2016
Last updated
02/04/2025
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