Ms Mary Darlene Smith, | |
100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | |
(618) 253-7671 | |
(618) 253-7104 |
Full Name | Ms Mary Darlene Smith |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 100 Dr Warren Tuttle Dr, Harrisburg, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295375541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.002899 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Darlene Smith, 208 Red Row, Marion, IL 62959-5320 Ph: (618) 579-8993 | Ms Mary Darlene Smith, 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 Ph: (618) 253-7671 |
Kelley N Gates, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 | |
Debbie Jane Hearn, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946 Phone: 618-253-0462 Fax: 618-253-7104 |