Individual
MRS. JOBETH ROSS MCELHANON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9601 INTERSTATE EXIT 7, BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK, LITTLE ROCK, AR 72205-7299
(501) 202-2117
(501) 202-7191
Mailing address
6412 CANTRELL RD, LITTLE ROCK, AR 72207-4217
(501) 202-2117
(501) 202-7191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
642
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X042
MNT PROVIDER
AR
Enumeration date
06/15/2006
Last updated
07/08/2007
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