Individual
DARRELL SHANNON MCGEHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
37 S MAIN ST, WILLISTON, FL 32696-2681
(352) 528-0022
(352) 528-2878
Mailing address
PO BOX 190, ARCHER, FL 32618-0190
(352) 318-2646
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND 4357
FL
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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