IndividualActive
Anna Wallace, RD, LD
NPI 1811318942 · Registered Dietitian · Mendenhall, MS
Provider details
- NPI number
- 1811318942
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- D1609 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
102 N. Main St.
Mendenhall, MS 39114
Phone: (601) 847-2511
Fax: (601) 847-0931
Approximate (ZIP-level) locationGet directions
Mailing address
102 N. Main St.
Mendenhall, MS 39114
Registry dates
- Enumerated
- 2013-12-16
- Last updated
- 2013-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.