Provider Demographics
NPI:1093955759
Name:MCALPINE, WILLIA M (RD,LD)
Entity Type:Individual
Prefix:MISS
First Name:WILLIA
Middle Name:M
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 CITIZENS PKWY
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-3915
Mailing Address - Country:US
Mailing Address - Phone:334-872-8421
Mailing Address - Fax:334-877-3796
Practice Address - Street 1:2906 CITIZENS PKWY
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-3915
Practice Address - Country:US
Practice Address - Phone:334-872-8421
Practice Address - Fax:334-877-3796
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1254133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist