Individual
ERICA CAPLES WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5071
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1390
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02394
MEDICARE GROUP
MS
Enumeration date
01/10/2013
Last updated
02/21/2014
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