Thomas Shane Mcmullen, RD

NPI #1104608058 in Pontotoc, Mississippi

Provider Information

NPI Number
1104608058
Entity Type
Individual
Name
Thomas Shane Mcmullen, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Oct 16, 2023
Last Updated
Oct 16, 2023

Practice Location

Address
353 HIGHWAY 15 N
ZIP Code
38863-1103
Phone
(662) 490-1985

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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