Individual
MRS. BRANDI PEARCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
96 ALI WAY, CREEKSIDE SOUTH, OXFORD, AL 36203-1835
(256) 832-4141
Mailing address
703 IVEY WAY, MUNFORD, AL 36268-7104
(256) 315-0546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R872070
—
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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