Shannon Murtagh, RD | |
3800 I-55 North Frontage Road Suite 102, Jackson, MS 39212 | |
(601) 200-6872 | |
Not Available |
Full Name | Shannon Murtagh |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
Location | 3800 I-55 North Frontage Road Suite 102, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962138487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | D1641 (Mississippi) | Primary |
Provider Name | St. Dominic Medical Associates Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Provider Name | Flowood River Oaks Hma Medical Group, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668 |
Mailing Address | Practice Location Address |
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Shannon Murtagh, RD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-6872 | Shannon Murtagh, RD 3800 I-55 North Frontage Road Suite 102, Jackson, MS 39212 Ph: (601) 200-6872 |
Camille Barnes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5065 | |
Mrs. Angela A. Causey, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Nutrition Systems Wellness, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 603 Duling Ave, Suite 207, Jackson, MS 39216 Phone: 601-984-3126 Fax: 601-984-3127 | |
Ronald Dwayne Woods, RD, CHES Dietitian Medicare: Medicare Enrolled Practice Location: 1 Ashton Gardens Dr, Jackson, MS 39211 Phone: 601-818-4442 | |
Denise Williams Barnett, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Tameka Johnson, RD, CLC, CCP Dietitian Medicare: Medicare Enrolled Practice Location: 338 Oak St, Jackson, MS 39203 Phone: 601-329-5751 | |
Ester V Higginbotham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-368-4483 |