Gina H Mixon, RD

NPI #1902807720 in Laurel, Mississippi

Provider Information

NPI Number
1902807720
Entity Type
Individual
Name
Gina H Mixon, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Aug 2, 2005
Last Updated
Nov 3, 2010

Practice Location

Address
1220 JEFFERSON ST
City
Laurel
ZIP Code
39440-4355
Phone
(601) 426-4086

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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Organizations

Provider Name
South Central Regional Medical Center

Part of South Central Regional Medical Center

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