Provider Demographics
NPI:1609049659
Name:MILAM, RITA HUIE (MA, RD, CSR, CDE, LD)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:HUIE
Last Name:MILAM
Suffix:
Gender:F
Credentials:MA, RD, CSR, CDE, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SILVER RIDGE CV
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-5237
Mailing Address - Country:US
Mailing Address - Phone:501-812-0888
Mailing Address - Fax:501-945-3949
Practice Address - Street 1:7 SILVER RIDGE CV
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-5237
Practice Address - Country:US
Practice Address - Phone:501-812-0888
Practice Address - Fax:501-945-3949
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0130133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal