Doctor Name: | MR. MICAH RYAN MORLAS |
NPI Number: | 1679916415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D., L.D. |
License Number: | 1089504 |
Business Practice Address: | 1102 Constitution Ave Meridian, MS - 39301 |
Business Phone Number: | 6017035435 |
Business Fax Number: | |
Mailing Address: | 1801 Willow Bend Drive, MERIDIAN |
State: | MS |
Postal Code: | 39301 |
Phone Number: | 2056572423 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1089504 |
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 |