Doctor Name: | MR. JEREMY D MULLINS |
NPI Number: | 1912109042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. R.D. |
License Number: | |
Business Practice Address: | Medabolix Inc 600 Tracy Way Suite 200 Charleston, WV - 25311 |
Business Phone Number: | 3043474313 |
Business Fax Number: | 3043474316 |
Mailing Address: | 101 29th St Se, Unit 15 CHARLESTON |
State: | WV |
Postal Code: | 253041149 |
Phone Number: | 3043474313 |
Fax Number: | 3043474316 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
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 |