Individual
SHANNON DAWN LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
Mailing address
209 HUNTERS RUN DR, BENTON, AR 72015-6590
(501) 776-8391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
834
AR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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