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Contact Information

TOP DOG NUTRITION & FITNESS
4708 GIBSON RD
#105
OCEAN SPRINGS, MS39564-6042
 Phone: 228-872-1749
 Fax: 228-872-1749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for TOP DOG NUTRITION & FITNESS

NPI Number 1275832149
LBN Legal business name TOP DOG NUTRITION & FITNESS
Authorized official SHEENA MYLES - (OPERATIONS MANAGER/CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2011
Last updated 03/18/2011 - About 15 years ago
Identifiers
FL License # 234140
FL License # 241367
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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