Shanna K Carr, LICENSED DIETICIAN
NPI #1386730232 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1386730232
- Entity Type
- Individual
- Name
- Shanna K Carr, LICENSED DIETICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- LICENSED DIETICIAN
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Mar 8, 2021
Practice Location
- Address
- 225 PHYSICIANS PARK STE 400
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3923
- Phone
- (573) 727-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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