Organization
DIETITIAN ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M PENNINGTON RD (VICE PRESIDENT)
(901) 759-9337
Entity
Organization
Contact information
Practice address
2065 FENNELL PL, NESBIT, MS 38651-7400
(901) 759-9337
Mailing address
2065 FENNELL PL, NESBIT, MS 38651-7400
(901) 759-9337
(901) 759-7967
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
03/29/2023
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