Individual provider · Type 1 NPI

Thomas Shane McMullen, RD

Registered Dietitian · Pontotoc, MS

NPI number 1104608058 Active

Practice location

353 Highway 15 N
Pontotoc, MS 38863-1103

Fax (662) 490-1989

Mailing address

PO Box 497
Augusta, AR 72006-0497

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD-2456 (MS)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1104608058

Thomas Shane McMullen, RD's National Provider Identifier is 1104608058, issued on Oct 16, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Pontotoc, MS. The record was last updated on Oct 16, 2023.