| NPI | 1730274887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE SMITH Clinical Dietitian 601-362-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: R422643) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-08-08 |