| Organization Name: | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| NPI Number: | 1699857433 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM KENNEDY (ASSOCIATE ADMINISTOR) |
| Mailing Address: | 2500 N State St Pfs Jackson |
| State: | MS US |
| Postal Code: | 392164500 |
| Phone Number: | 6019844619 |
| Fax Number: | 6019844657 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |