Organization
SOUL AND SOIL PLLC
Active
Other names
Soul & Soil
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRETT SAMUEL COLLUMS R.D. (REGISTERED DIETITIAN R.D.)
(501) 654-4125
Entity
Organization
Contact information
Practice address
740 S SALEM RD STE 103, CONWAY, AR 72034-5520
(501) 654-4410
Mailing address
1605 SIMMS ST, CONWAY, AR 72034-6413
(501) 654-4410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
04/03/2024
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