Sarah Gehring Provence, MS, RD, LDN, CDCES
NPI #1003476417 in Southaven, Mississippi
Provider Information
- NPI Number
- 1003476417
- Entity Type
- Individual
- Name
- Sarah Gehring Provence, MS, RD, LDN, CDCES
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD, LDN, CDCES
- Enumeration Date
- Jun 18, 2019
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 2150 DICKENS PLACE DR
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-7152
- Phone
- (901) 387-7314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric |
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