Doctor Name: | MARY KATHRYN TEAL |
NPI Number: | 1922255058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | ND 5295 |
Business Practice Address: | 4500 13th St Gulfport, MS - 395012515 |
Business Phone Number: | 2288674000 |
Business Fax Number: | 2288675009 |
Mailing Address: | Po Box 1810, GULFPORT |
State: | MS |
Postal Code: | 395021810 |
Phone Number: | 2288674000 |
Fax Number: | 2288675009 |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 08/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND 5295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |