MRS. Stacey Dunn Ethridge, MS, RDN, LDN

NPI #1629621362 in Decatur, Alabama

Provider Information

NPI Number: 1629621362
Entity Type: Individual
Name: MRS. Stacey Dunn Ethridge, MS, RDN, LDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RDN, LDN
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 1216 SOMERVILLE RD SE
City: Decatur
State: Alabama
ZIP Code: 35601-4335
Phone: (256) 340-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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