Shannon Dawn Ledbetter RD

NPI 1730103540 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1730103540
Gender Female
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 MEDICAL PARK DR
BENTON AR, 72015-3353, US
Phone (501) 776-6000
Fax
Business Location
209 HUNTERS RUN DR
BENTON AR, 72015-6590, US
Phone (501) 776-8391
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Arkansas
License Number 834
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According to our database, Shannon Dawn Ledbetter RD NPI is 1730103540, taxonomy code is 133V00000X and license number is 834, license state is located at Arkansas. Shannon Dawn Ledbetter RD physically located at 1 Medical Park Dr, Benton AR, 72015-3353. NPI Number Shannon Dawn Ledbetter RD has the Individual type.

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1730103540 NPI number is provided on an as is basis without warranty of any kind. 1730103540 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Dawn Ledbetter RD are for informational purposes only.