Mrs Gina M Wack, MS,RD | |
127 Spring Oak Dr, Madison, MS 39110-9131 | |
(601) 605-9382 | |
Not Available |
Full Name | Mrs Gina M Wack |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 127 Spring Oak Dr, Madison, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225209364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D0500 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Gina M Wack, MS,RD 127 Spring Oak Dr, Madison, MS 39110-9131 Ph: (601) 605-9382 | Mrs Gina M Wack, MS,RD 127 Spring Oak Dr, Madison, MS 39110-9131 Ph: (601) 605-9382 |
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