NPI 1255758504

Shirley T Davis, RDNLD

Practitioner Registered Dietitian Southaven, MS

Practice location

Address: 6856 Cobblestone Blvd, Southaven, MS 38672-9311
Phone: (888) 416-0008
Fax: (888) 416-0009

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D0054 (MS)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1255758504
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2014
Record last updated: 25 Mar 2014

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.