Individual
AMY CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 MOBILE STREET, SALTILLO, MS 38866
(662) 869-3700
Mailing address
PO BOX 79, SALTILLO, MS 38866-0079
(662) 869-3700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0582
MS
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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