Julie Pace, RD | |
101 Broken Arrow Trl, Petal, MS 39465 | |
(601) 689-0081 | |
Not Available |
Full Name | Julie Pace |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 101 Broken Arrow Trl, Petal, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083255632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Core Nutrition Health And Wellness, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932745437 PECOS PAC ID: 0840624623 Enrollment ID: O20200403001254 |
Mailing Address | Practice Location Address |
---|---|
Julie Pace, RD 99 Broken Arrow Trl, Petal, MS 39465-8954 Ph: (601) 689-0081 | Julie Pace, RD 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 | |
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 | |
Core Nutrition Health And Wellness, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 101 Broken Arrow Trl, Petal, MS 39465 Phone: 601-689-0081 |