Individual
MRS. BALEANA WATTS MCGILBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CDCES
Contact information
Practice address
4110 NOTTINGHAM DR, SEMMES, AL 36575-8218
(251) 459-0695
(251) 459-0695
Mailing address
4110 NOTTINGHAM DR, SEMMES, AL 36575-8218
(251) 459-0695
(251) 459-0695
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
917122
AL
133NN1002X
Nutrition Education Nutritionist
917122
AL
133V00000X
Registered Dietitian
Primary
917122
AL
133VN1004X
Pediatric Nutrition Registered Dietitian
917122
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1712
ALABAMA STATE LICENSE
AL
01
—
D1106
MISSISSIPPI STATE LICENSE
MS
Enumeration date
05/13/2011
Last updated
05/14/2025
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