GINA MIXON, RD

Dietitian, Registered

Active Individual
NPI: 1902807720

Practice Address

1220 JEFFERSON ST
Laurel, MS 39440

Phone: (601) 426-4086

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes D0722 (MS)

Frequently Asked Questions

NPI 1902807720 is the National Provider Identifier for GINA MIXON, RD, a Dietitian, Registered provider located in Laurel, MS. This NPI was enumerated on August 2, 2005.
GINA MIXON, RD practices at 1220 JEFFERSON ST, Laurel, MS 39440.

Quick Facts

NPI
1902807720
Type
Individual
Enumerated
Aug 2, 2005
Last Updated
Nov 3, 2010

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