Doctor Name: | MARY J. MCMILLION |
NPI Number: | 1740330794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 235 |
Business Practice Address: | 3110 Maccorkle Ave Se Charleston, WV - 253041210 |
Business Phone Number: | 3043889649 |
Business Fax Number: | 3043885560 |
Mailing Address: | 4113 Staunton Ave Se, CHARLESTON |
State: | WV |
Postal Code: | 253041638 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |