Individual
MRS. ALICIA MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3 MEDICAL PARK DR STE 200, BENTON, AR 72015-3725
(501) 776-6670
Mailing address
3025 HIGHWAY 5 N LOT 111, BENTON, AR 72015-6644
(501) 847-9523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
857
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235111071
HOSPITAL NPI NUMBER
AR
Enumeration date
05/23/2007
Last updated
07/08/2007
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