Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Shane McMullen, RD

Individual provider Registered Dietitian · NPI 1104608058

Thomas Shane McMullen, RD is a Registered Dietitian in Pontotoc, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

353 Highway 15 N
Pontotoc, MS 38863-1103
Phone: (662) 490-1985
Fax: (662) 490-1989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-2456 (MS)

Record details

NPI number1104608058
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing addressPo Box 497, Augusta, AR 72006-0497

Other providers in Pontotoc