Individual
ALLISON BOATNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4376
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1224
MS
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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