Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS SHANE MCMULLEN, RD
ActiveTHOMAS SHANE MCMULLEN, RD is a Registered Dietitian healthcare provider located in PONTOTOC, Mississippi. NPI 1104608058 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · PONTOTOC, MS
Registration Details
- NPI Number
- 1104608058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2023 (2.7942280033226 yrs)
- Last Updated
- Oct 16, 2023
- License
-
D-2456 (MS)
Practice Information
- Address
-
353 HIGHWAY 15 NPONTOTOC, MS, 388631103Browse MS providers · Browse ZIP 38863
- Phone
- 6624901985
- Fax
- 6624901989
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in PONTOTOC, MS
| Name | Credential | NPI |
|---|---|---|
| HALEY L SEWELL | REGISTERED DIETITION | 1124782834 |
| KERI CONNELLY PURSER | — | 1609745348 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.