| Gina H Mixon, RD | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 426-4086 | |
| (601) 426-4417 |
| Full Name | Gina H Mixon |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1220 Jefferson St, Laurel, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902807720 | NPI | - | NPPES |
| 06023396 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D0722 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gina H Mixon, RD 11 Place Road, Ellisville, MS 39437 Ph: (601) 426-4086 | Gina H Mixon, RD 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4086 |
Ms. Martha Laurie Watts, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
South Central Reg Med Ctr-mnt Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6254 | |
Glenda Z Mccraw, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4083 Fax: 601-426-4417 | |
Ms. Gayla B. Glenn, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Mrs. Bonita Nicole Jaynes, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 117 South 11th Avenue, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 |