Individual
MS. SHARRON DENISE PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, MS, RD, LD
Contact information
Practice address
356 MALLORY DR, BYRAM, MS 39272-6423
(662) 836-8643
Mailing address
356 MALLORY DR, BYRAM, MS 39272-6423
(662) 836-8643
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
931621
MS
133V00000X
Registered Dietitian
D1059
MS
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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