Individual
LESLIE BERRYHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1929
(601) 984-1916
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1929
(601) 984-1916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1481
MS
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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