Individual
CHRISTOPHER MARTIN LIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
575 CRAFT ST, HOLLY SPRINGS, MS 38635-3249
(662) 252-2285
(662) 252-2394
Mailing address
PO BOX 308, HOLLY SPRINGS, MS 38635-0308
(662) 252-2285
(662) 252-2394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0318
MS
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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