NPI 1275932444

John Micka

Practitioner Registered Dietitian Hattiesburg, MS

Practice location

Address: 2 Longstone Rd, Hattiesburg, MS 39402-8434
Phone: (601) 297-5646

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D0808 (MS)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1275932444
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2014
Record last updated: 14 Aug 2014

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.