Organization
MEMPHIS NUTRITION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR MIZE MS, RDN, CSSD, LDN (CO-OWNER)
(901) 619-1942
Entity
Organization
Contact information
Practice address
6263 POPLAR AVE STE 605, MEMPHIS, TN 38119-4724
(901) 343-6146
(901) 328-1802
Mailing address
6263 POPLAR AVE STE 605, MEMPHIS, TN 38119-4724
(901) 343-6146
(901) 328-1802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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