Organization Name: | INTERNAL MEDICINE ASSOCIATES |
NPI Number: | 1043462195 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNETTE SMITH CLEMENTS (REGISTERED DIETITIAN) |
Mailing Address: | 551 Azalea Dr Oxford |
State: | MS US |
Postal Code: | 386557900 |
Phone Number: | 6622340332 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D1035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |