Miss Tracy L Mccullough-Wills, RD
Dietitian, Registered in Mullica Hill, New Jersey
1386962983- Practice location
- 1339 Ellis Mill RD, Mullica Hill, NJ 08062-4431
- Phone
- 609-760-8950
- Fax
- 856-417-3432
- Last updated
- May 7, 2010
Tracy L Mccullough-Wills is a Dietitian, Registered based in Mullica Hill, NJ. Tracy L Mccullough-Wills practices in Mullica Hill, NJ and has the professional credentials of RD. The NPI Number for Tracy L Mccullough-Wills is 1386962983 and holds a License No. 804997 (PA). The current practice location address for Tracy L Mccullough-Wills is 1339 Ellis Mill RD, Mullica Hill, NJ 08062-4431 and can be reached out via phone at 609-760-8950 and via fax at 856-417-3432.
Provider Profile Details
- NPI Number
- 1386962983
- Provider Name
- Tracy L Mccullough-Wills
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1339 Ellis Mill RD, Mullica Hill, NJ 08062-4431
- Phone Number
- 609-760-8950
- Fax Number
- 856-417-3432
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 7, 2010
- Last Update Date
- May 7, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1339 Ellis Mill RD
Mullica Hill, NJ 08062-4431 - City
- Mullica Hill
- State
- New Jersey
- Zip
- 08062-4431
- Phone Number
- 609-760-8950
- Fax Number
- 856-417-3432
Provider Business Mailing Address Details
- Address
- 1339 Ellis Mill RD
Mullica Hill, NJ 08062-4431 - City
- Mullica Hill
- State
- NJ
- Zip
- 08062-4431
- Phone Number
- 609-760-8950
- Fax Number
- 856-417-3432
License Information
- License Number
- 804997
- License State
- PA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Courtney M Marino, RDNDietitian, Registered · NPI 1134810989
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Frequently Asked Questions
What is the NPI number of Miss Tracy L Mccullough-Wills, RD?
The NPI number of Miss Tracy L Mccullough-Wills, RD is 1386962983. It was assigned on May 7, 2010 and is currently active in the NPPES registry.
What is the specialty of Miss Tracy L Mccullough-Wills, RD?
Miss Tracy L Mccullough-Wills, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PA under license number 804997.
Where does Miss Tracy L Mccullough-Wills, RD practice?
The practice location is 1339 Ellis Mill RD, Mullica Hill, NJ 08062-4431. The office can be reached at 609-760-8950 (phone) or 856-417-3432 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386962983 directly on the NPPES registry website.