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NPI Code Detail

MEDICARE: ASHLEY CREEL MS,RD,LD

MEDICARE:   ASHLEY  CREEL  MS,RD,LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianD-1163MS

General Provider Information

NPI Number : 1447135363
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CREEL MS,RD,LD
Provider Business Mailing Address
First Line : 4117 OLD DOVER RD
Second Line :
City : YAZOO CITY
State : MS
Zip : 39194-8500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4117 OLD DOVER RD
Second Line :
City : YAZOO CITY
State : MS
Zip : 39194-8500
Country : US
Telephone Number : 601-580-4332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2025
Last Update Date : 08/08/2025

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Directions to “ ASHLEY CREEL MS,RD,LD” Practice Location

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