Individual
MADISON AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1124 OAKLEIGH RD, OCEAN SPRINGS, MS 39564-5716
(228) 875-3778
(228) 875-9335
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1491
MS
Other
Enumeration date
07/14/2014
Last updated
05/28/2024
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