Gwaltney, Linda R

Gwaltney, Linda R is an individual health care provider with primary practice located at 5909 U S Highway 49 Suite 30, Hattiesburg MS 39402-2860. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gwaltney, Linda R can be contacted via phone (601) 296-2780.

Contact Information

Primary practice address
5909 U S Highway 49 Suite 30 Hattiesburg MS 39402-2860
Fax: (601) 296-2781
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD002453 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D0251 Mississippi

Profile Details

NPI number 1871807776
LBN Legal business name Gwaltney, Linda R
Credentials MS RD LD CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Aug 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871807776 NPPES
Mississippi MEDICAID 00882818

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