Individual
MRS. TERRI LYNN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
159
WV
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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