Individual
BLAIR MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSSD, LDN
Contact information
Practice address
6263 POPLAR AVE STE 605, MEMPHIS, TN 38119-4724
(901) 343-6146
(901) 328-1802
Mailing address
6263 POPLAR AVE STE 605, MEMPHIS, TN 38119-4724
(901) 343-6146
(901) 328-1802
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TN
Other
Enumeration date
01/18/2020
Last updated
11/27/2023
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