The Dietitian Doctor, LLC

NPI #1235905845 in Cabot, Arkansas

Provider Information

NPI Number: 1235905845
Entity Type: Organization
Organization Name: The Dietitian Doctor, LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Nov 27, 2023
Last Updated: Apr 10, 2024

Practice Location

Address: 305 E MAIN ST
City: Cabot
State: Arkansas
ZIP Code: 72023-3034
Phone: (501) 605-0310

Authorized Official

Name: DR. KINDANN MCMAHAN STONE FAWCETT, PHD, RD, LD
Title: CEO/OWNER
Phone: (501) 605-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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