Linda R Gwaltney, MS RD LD CDE | |
5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | |
(601) 296-2780 | |
(601) 296-2781 |
Full Name | Linda R Gwaltney |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 47 Years |
Location | 5909 U S Highway 49, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871807776 | NPI | - | NPPES |
00882818 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD002453 (Georgia) | Secondary |
133V00000X | Dietitian, Registered | D0251 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Provider Name | Hattiesburg Clinic Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Linda R Gwaltney, MS RD LD CDE 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 296-2780 | Linda R Gwaltney, MS RD LD CDE 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 Ph: (601) 296-2780 |
Jennifer L Lemacks, PH.D., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Virginia Dr, Hattiesburg, MS 39401 Phone: 850-556-4377 | |
Natasha Hansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr # 5017, Hattiesburg, MS 39406 Phone: 612-910-8010 | |
Jaclyn Wehrle, RD Dietitian Medicare: Medicare Enrolled Practice Location: 122 Virginia Dr, Hattiesburg, MS 39401 Phone: 513-265-1895 | |
Lifecycle Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Virginia Dr, Hattiesburg, MS 39401 Phone: 850-556-4377 | |
Mrs. Sabrina M White, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8090 | |
John Micka, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Longstone Rd, Hattiesburg, MS 39402 Phone: 601-297-5646 | |
Janet Hudson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402 Phone: 601-296-2780 Fax: 601-296-2781 |