Mary Kathryn Teal in Gulfport - Dietitian, Registered
Mary Kathryn Teal - NPI 1922255058
Mary Kathryn Teal is a Dietitian, Registered in Gulfport, Mississippi. Mary Kathryn Teal practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Kathryn Teal is 1922255058. The last update date is 2008-08-20.
Mary Kathryn Teal's current location address is Po Box 1810, Gulfport, Mississippi. You can contact this provider via phone number 2288674000 and fax number 2288675009. The mailing address for Mary Kathryn Teal is Po Box 1810, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathryn Teal |
|---|---|
| Address | Po Box 1810, Gulfport, Mississippi |
| Phone Number | 2288674000 |
| Fax Number | 2288675009 |
| Sole Proprietor | N |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1922255058 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2008-08-20 |
Provider Mailing Address Detail
| Address | Po Box 1810 |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395021810 |
| Phone Number | 2288674000 |
| Fax Number | 2288675009 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | D1330 |
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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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What is the unique identification code assigned to Mary Kathryn Teal by the Centers for Medicare & Medicaid Services?
The Mary Kathryn Teal has been issued the NPI (National Provider Identifier) 1922255058. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Kathryn Teal?
The Mary Kathryn Teal is situated at Po Box 1810, in the city of Gulfport, state of MS, with the zip code 395021810.
What is the area of specialization for Mary Kathryn Teal, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Kathryn Teal is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did Mary Kathryn Teal receive its 1922255058 assignment from the Centers for Medicare & Medicaid Services?
The Mary Kathryn Teal was assigned its 1922255058 on 2008-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Kathryn Teal most recently updated or revised?
The details related to Mary Kathryn Teal, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-20.
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