| Core Nutrition Health And Wellness, Llc | |
|
101 Broken Arrow Trl, Petal, MS 39465 | |
| (601) 689-0081 | |
| Not Available |
| Full Name | Core Nutrition Health And Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 101 Broken Arrow Trl, Petal, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932745437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Julie Pace |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083255632 PECOS PAC ID: 1759715535 Enrollment ID: I20200403001581 |
| Mailing Address | Practice Location Address |
|---|---|
| Core Nutrition Health And Wellness, Llc 99 Broken Arrow Trl, Petal, MS 39465-8954 Ph: () - | Core Nutrition Health And Wellness, Llc 101 Broken Arrow Trl, Petal, MS 39465 Ph: (601) 689-0081 |
Mrs. Lacey Easterling Saul, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 Redfern Trl, Petal, MS 39465 Phone: 601-520-2962 | |
Julie Pace, RD Dietitian Medicare: Medicare Enrolled Practice Location: 101 Broken Arrow Trl, Petal, MS 39465 Phone: 601-689-0081 | |
Sara E Foster, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36 Craft Rd, Petal, MS 39465 Phone: 601-325-7146 | |
Mrs. Kimberly Marie Chapman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 312 Pine Ridge Pt, Petal, MS 39465 Phone: 601-248-1687 Fax: 888-820-5115 |