Doctor Name: | MRS. MELISSA DAWN SHOUP |
NPI Number: | 1891756730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., M.S. |
License Number: | 1476 |
Business Practice Address: | 3701 Loop Rd Tuscaloosa, AL - 354045015 |
Business Phone Number: | 2055543664 |
Business Fax Number: | |
Mailing Address: | 15664 Smokey Ridge Rd, KNOXVILLE |
State: | AL |
Postal Code: | 354691025 |
Phone Number: | 2053445743 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1476 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |