NPI 1083239115
Jerry Mayo, PHDRDN
Practice location
- Address
- 1060 Applewood Dr, Conway, AR 72034-3538
- Phone
- (501) 733-6575
Registered specialties
Obesity and Weight Management Nutrition Registered Dietitian
Primary
Registry record
- NPI
- 1083239115
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jun 2020
- Record last updated
- 15 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.