Provider Demographics
NPI:1114373362
Name:MCCURRY, FELICIA (MPH RD LDN)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:MPH RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30703 W INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-6739
Mailing Address - Country:US
Mailing Address - Phone:561-374-0447
Mailing Address - Fax:
Practice Address - Street 1:935 WAYNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1904
Practice Address - Country:US
Practice Address - Phone:731-926-8000
Practice Address - Fax:731-926-8119
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9716133V00000X
TN2753133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered