Individual
ELIZABETH MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., NSCA-CPT
Contact information
Practice address
405 GEORGETOWN ST, HAZLEHURST, MS 39083-2805
(601) 946-8236
Mailing address
405 GEORGETOWN ST, HAZLEHURST, MS 39083-2805
(601) 946-8236
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
05/22/2012
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