Individual
MS. CHRISTY MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
104 W GARRARD RD, STARKVILLE, MS 39759-2050
(662) 324-8300
(662) 324-7590
Mailing address
104 W GARRARD RD, STARKVILLE, MS 39759-2050
(662) 324-8300
(662) 324-7590
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1204
MS
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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