| Mrs Ellen Easley Wallace, CDE, RD, LD | |
|
103 Starr Ave Apt 66, Starkville, MS 39759-4058 | |
| (662) 418-1184 | |
| Not Available |
| Full Name | Mrs Ellen Easley Wallace |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 103 Starr Ave Apt 66, Starkville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700178779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D1317 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ellen Easley Wallace, CDE, RD, LD Po Box 5333, Mississippi State, MS 39762-5333 Ph: (662) 418-1184 | Mrs Ellen Easley Wallace, CDE, RD, LD 103 Starr Ave Apt 66, Starkville, MS 39759-4058 Ph: (662) 418-1184 |
Kelly M White, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Hospital Road, Starkville, MS 39760 Phone: 662-615-2763 Fax: 662-615-2761 | |
Taylor Alexa Vandyk, MS, RDN, LD, CHES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 57 Trevino Ln Apt 10, Starkville, MS 39759 Phone: 616-560-2998 Fax: 214-291-9792 | |
Mae Palina Clark, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 Stark Rd, Starkville, MS 39759 Phone: 662-323-4400 Fax: 662-323-4409 | |
Mrs. Amanda Gladney Conrad, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 117 Kirkside Dr, Starkville, MS 39759 Phone: 662-324-0309 Fax: 662-324-0309 | |
Mary Katelyn Bryant Wolfe, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 108 Lydia Ln, Starkville, MS 39759 Phone: 731-695-5426 | |
Mrs. Kimberly N Yeatman, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-615-2668 Fax: 662-615-2671 |