Individual
MRS. WILMETTA ROBINSON NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3184
(662) 772-3197
Mailing address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-3184
(662) 772-3197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000444
TN
133V00000X
Registered Dietitian
Primary
D0904
MS
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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