Individual
SUMMER JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., CNSC
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6184
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6184
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1073
MS
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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