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Organization
TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION
Active
Organization
TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION
Active
Other names
Tallahatchie General Hospital Medical Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE DANE MORING PHD RDN CDCES BCADM (EXECUTIVE DIRECTOR)
(501) 276-5459
Entity
Organization
Contact information
Practice address
188 HONEYSUCKLE DRIVE, CHARLESTON, MS 38921
(501) 276-5459
(662) 625-3024
Mailing address
188 HONEYSUCKLE DRIVE, CHARLESTON, MS 38921
(501) 276-5459
(662) 625-3024
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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