Individual
MRS. CAROL JOHNSON MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
25117 HIGHWAY 15, UNION, MS 39365-9088
(601) 774-8214
Mailing address
1244 54TH ST, MERIDIAN, MS 39305-1831
(601) 482-5067
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0657
MS
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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