Doctor Name: | MRS. DEBORAH LEE SLOCUM |
NPI Number: | 1013161033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAG, RD, LD/N, CDE |
License Number: | ND3270 |
Business Practice Address: | 480 West Lowder Street Baker County Health Department Macclenny, FL - 32063 |
Business Phone Number: | 9042596291 |
Business Fax Number: | 9042591950 |
Mailing Address: | 580 Fox Run Cir, MACCLENNY |
State: | FL |
Postal Code: | 320638607 |
Phone Number: | 9045888656 |
Fax Number: | 9042768506 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND3270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |