Individual
MRS. ALLISON GREY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7998
Mailing address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1010
AR
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
1010
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010
AR LICENSE #
AR
01
—
973585
COMMISSION DIETETIC REGISTRATION
AR
Enumeration date
09/20/2022
Last updated
09/20/2022
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