Doctor Name: | MS. MARTHA LAURIE WATTS |
NPI Number: | 1225334170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 818867 |
Business Practice Address: | 117 S 11th Ave Laurel, MS - 394404312 |
Business Phone Number: | 6014253033 |
Business Fax Number: | 6014220431 |
Mailing Address: | Po Box 4361, LAUREL |
State: | MS |
Postal Code: | 394414361 |
Phone Number: | 6014253033 |
Fax Number: | 6014220431 |
NPI Enumeration Date: | 02/09/2011 |
NPI Last Update Date: | 02/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 818867 |
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 |