Organization
MY NUTRITION THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINE MERIWETHER SHELTON RDN, LD (CO-OWNER)
(662) 801-9156
Entity
Organization
Contact information
Practice address
95 COUNTY ROAD 405, OXFORD, MS 38655-9201
(662) 801-9156
Mailing address
95 COUNTY ROAD 405, OXFORD, MS 38655-9201
(662) 801-9156
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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