Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK EBBERS
Active Sole ProprietorSports Dietetics · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1972129856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2020 (5.847377835771 yrs)
- Last Updated
- Jun 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
2154 WARREN RD SEBROOKHAVEN, MS, 396019587Browse MS providers · Browse ZIP 39601
- Phone
- 6017540530
- Primary Specialty
-
Sports Dietetics
133VN1501X
- Additional Specialty
- Sports Dietetics
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.