Ellen F Durst, MS,RD,LD

NPI #1033403209 in Greenville, Mississippi

Provider Information

NPI Number: 1033403209
Entity Type: Individual
Name: Ellen F Durst, MS,RD,LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS,RD,LD
Enumeration Date: Jun 6, 2011
Last Updated: Jun 6, 2011

Practice Location

Address: 1997 MEDICAL PARK DR
City: Greenville
State: Mississippi
ZIP Code: 38703-7268
Phone: (662) 335-4105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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