Medical Nutrition Group
NPI #1174761860 in Madison, Mississippi
Provider Information
- NPI Number
- 1174761860
- Entity Type
- Organization
- Organization Name
- Medical Nutrition Group
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 3, 2009
- Last Updated
- Feb 3, 2009
Practice Location
- Address
- 250 LAKE VILLAGE DR
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6522
- Phone
- (228) 493-2877
Authorized Official
- Name
- MRS. KATI L LOYACONO, MS, RD, LD
- Title
- DIRECTOR
- Phone
- (228) 493-2877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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