Individual
LEIGH B PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 373-1793
(601) 376-1466
Mailing address
785 OHIO AVE, SUITE 2F, CLARKSDALE, MS 38614-6217
(662) 621-5081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720121627
—
MS
Enumeration date
02/14/2007
Last updated
01/22/2020
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