Individual
MRS. LAURA WOOTTEN HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN
Contact information
Practice address
2000 15TH ST, MERIDIAN, MS 39301-4138
(601) 553-6284
Mailing address
5450 TRICK TALBERT RD, BAILEY, MS 39320-9735
(601) 527-7646
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
D1714
MS
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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