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NORTH MISSISSIPPI MEDICAL CLINICS INC NPI 1073996005


NPI Information

NPI: 1073996005
Provider Name: NORTH MISSISSIPPI MEDICAL CLINICS INC

Doing Business As: DIABETES TREATMENT CENTER

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
410 COUNCIL CIR
TUPELO, MS
ZIP 38801
Phone: (662) 377-2500
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NORTH MISSISSIPPI MEDICAL CLINICS INC is a dietitian registered in Tupelo, MS. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. NORTH MISSISSIPPI MEDICAL CLINICS INC NPI is 1073996005. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Diabetes Treatment Center.

The provider's business location address is:

410 COUNCIL CIR
TUPELO, MS
ZIP 38801-938
Phone: (662) 377-2500
Fax: (662) 377-2069

The provider's authorized official is Gerald Kimbrough .
The authorized official title is Manager and has the following contact phone number (662) 377-4685.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 4/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WD0400XRegistered NurseDiabetes EducatorNo
2363L00000XNurse PractitionerNo
3133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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