NPI 1225209364

Gina M. Wack, MSRD

Practitioner Registered Dietitian Madison, MS

Practice location

Address: 127 Spring Oak Dr, Madison, MS 39110-9131
Phone: (601) 605-9382

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D0500 (MS)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1225209364
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2008
Record last updated: 17 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.