| Doctor Name: | MS. MARY ELIZABETH SMITH |
| NPI Number: | 1023035698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. , L. D., CDE |
| License Number: | ND 4911 |
| Business Practice Address: | 1607 Saint James Ct Tallahassee, FL - 323085352 |
| Business Phone Number: | 8508780191 |
| Business Fax Number: | 8508788900 |
| Mailing Address: | 1607 Saint James Ct, TALLAHASSEE |
| State: | FL |
| Postal Code: | 323085352 |
| Phone Number: | 8508780191 |
| Fax Number: | 8508788900 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | ND 4911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |