Organization
NUTRITION SYSTEMS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES OGDEN CARPENTER JR. (MANAGING PARTNER)
(601) 927-4928
Entity
Organization
Contact information
Practice address
603 DULING AVE, SUITE 207, JACKSON, MS 39216-4009
(601) 984-3126
(601) 984-3127
Mailing address
PO BOX 5229, JACKSON, MS 39296-5229
(601) 984-3126
(601) 984-3127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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