Organization
JESSICA BYRD WHITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BYRD WHITE RDN (OWNER)
(334) 791-0314
Entity
Organization
Contact information
Practice address
3113 WESLEY WAY STE 2, DOTHAN, AL 36305-2004
(334) 245-8810
Mailing address
407 FORSYTHIA LN, DOTHAN, AL 36305-5904
(334) 791-0314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
04/03/2020
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