| Thomas Shane Mcmullen, RD | |
|
353 Highway 15 N, Pontotoc, MS 38863-1103 | |
| (662) 490-1985 | |
| (662) 490-1989 |
| Full Name | Thomas Shane Mcmullen |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 353 Highway 15 N, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104608058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-2456 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Shane Mcmullen, RD Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Thomas Shane Mcmullen, RD 353 Highway 15 N, Pontotoc, MS 38863-1103 Ph: (662) 490-1985 |
Haley L Sewell, REGISTERED DIETITION Dietitian Medicare: Not Enrolled in Medicare Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 |
Dr. Janice L Hall, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 235 N Brooks St, Pontotoc, MS 38863 Phone: 662-341-5780 |
Keri Connelly Purser, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 524 Mulberry Ridge Cir, Pontotoc, MS 38863 Phone: 601-218-4765 |