Individual
MRS. AUTUMN P MYHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
129 POLE BRIDGE DR, BRANDON, MS 39042-9235
(225) 610-7402
Mailing address
129 POLE BRIDGE DR, BRANDON, MS 39042-9235
(225) 610-7402
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1242
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1242
LICENSE
MS
Enumeration date
02/16/2010
Last updated
01/10/2025
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