MRS. Elizabeth Outlaw Muchmore, PA-C, MMS, MS, RD
NPI #1306228952 in St Augustine, Florida
Provider Information
- NPI Number
- 1306228952
- Entity Type
- Individual
- Name
- MRS. Elizabeth Outlaw Muchmore, PA-C, MMS, MS, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, MMS, MS, RD
- Enumeration Date
- Jun 19, 2015
- Last Updated
- Jul 1, 2024
Practice Location
- Address
- 204 SOUTHPARK CIR E
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5135
- Phone
- (904) 829-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Physician Assistant |
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