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Organization
PATHWAY TO WELLNESS, LLC
Active
Organization
PATHWAY TO WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GETTY E ISRAEL M.PH (EXECUTIVE DIRECTOR)
(769) 572-4286
Entity
Organization
Contact information
Practice address
5839 PEAR ORCHARD RD, JACKSON, MS 39211-3311
(769) 572-4286
Mailing address
5839 PEAR ORCHARD RD, JACKSON, MS 39211-3311
(769) 572-4286
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
207R00000X
Internal Medicine Physician
12329
MS
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
02/18/2014
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