Gina M. Wack in Madison - Dietitian, Registered

Gina M. Wack - NPI 1225209364

Gina M. Wack is a Dietitian, Registered in Madison, Mississippi. Gina M. Wack practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Gina M. Wack is 1225209364. The last update date is 2008-03-17.

Gina M. Wack's current location address is 127 Spring Oak Dr, Madison, Mississippi. You can contact this provider via phone number 6016059382. The mailing address for Gina M. Wack is 127 Spring Oak Dr, Madison, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Gina M. Wack
Address 127 Spring Oak Dr, Madison, Mississippi
Phone Number 6016059382
Fax Number
Sole Proprietor N
Credentials MS,RD

NPI Number Detail

NPI Number 1225209364
Provider Enumeration Date 2008-03-17
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 127 Spring Oak Dr
City Madison
State Mississippi (MS)
Post Code 391109131
Phone Number 6016059382
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No D0500
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Gina M. Wack

What is the unique 10-digit identifier code assigned to Gina M. Wack by the Centers for Medicare & Medicaid Services?

The Gina M. Wack has been issued the NPI (National Provider Identifier) 1225209364 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Gina M. Wack?

The Gina M. Wack is situated at 127 Spring Oak Dr, in the city of Madison, state of MS, with the zip code 391109131.

What is Gina M. Wack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gina M. Wack is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.

On what date did the Gina M. Wack receive its 1225209364 assignment from the Centers for Medicare & Medicaid Services?

The Gina M. Wack was assigned its 1225209364 by the Centers for Medicare & Medicaid Services on 2008-03-17.

As of what date were the details related to Gina M. Wack most recently updated or revised?

The information pertaining to Gina M. Wack, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-17.

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