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SARAH PROVENCE, MS, RD, LDN, CDCES
MS, RD, LDN, CDCES
Registered Dietitian
NPI: 1003476417IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered DietitianPrimary
Dietitian, Registered
Code: 133V00000X
D1643(MS)
Pediatric Nutrition Registered Dietitian
Dietitian, Registered — Nutrition, Pediatric
Code: 133VN1004X
2733(TN)
CMS Specialties
PrimaryREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 2150 DICKENS PLACE DR
SOUTHAVEN, MS 38672 - Phone
- (901) 387-7314
Quick Facts
- NPI
- 1003476417
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 13
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