SOUTHERN DIETETICS INC. NPI 1881776730

NPI Information

  • NPI: 1881776730
  • Provider Name: SOUTHERN DIETETICS, INC.
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • CLIA Number: 10D2316851
  • Address: 2818 LONGLEAF RD
    PANAMA CITY, FL
    ZIP 32405
  • Phone: (850) 832-4196

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NPI Details

SOUTHERN DIETETICS, INC. is a dietitian registered in Panama City, FL. 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. SOUTHERN DIETETICS, INC. NPI is 1881776730. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2818 LONGLEAF RD
PANAMA CITY, FL
ZIP 32405-000
Phone: (850) 832-4196
Fax: (850) 763-2583

The provider's authorized official is Margaret Blumer Sloan .
The authorized official title is President and has the following contact phone number (850) 832-4196.

The CLIA number assigned to this NPI record is 10D2316851 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredND0001140FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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