# THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003397530
- **Authorized official:** DR. PETER J. FOS PH.D, D.D.S., M.P.H (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (228) 831-8764

## Contact information

- **Practice address:** 19289 ST. JOSEPH STREET, SUITE C, BILOXI, MS 39532
- **Practice address phone:** (228) 831-8764
- **Practice address fax:** (228) 233-1252
- **Mailing address:** 19289 ST. JOSEPH STREET, SUITE C, BILOXI, MS 39532
- **Mailing address phone:** (228) 831-8764
- **Mailing address fax:** (228) 233-1252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/23/2018
- **Last updated:** 10/18/2018