Deborah Ann Colby, R.D.

Individual provider Active NPI Registered Dietitian · Gulfport, MS

NPI 1992894471 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992894471
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
D0767 (MS)
Practice address
4500 13TH St
Gulfport, MS 39501-2515
Phone
(228) 867-4000
Fax
(228) 867-5009
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D0767 MS Yes

Addresses

Primary practice location

4500 13TH St
Gulfport, MS 39501-2515

Mailing address

913 E Second St
Pass Christian, MS 39571-4719
Phone (228) 452-0900

Other providers in Gulfport, MS

All providers in Gulfport, MS · Registered Dietitian in Mississippi

Sources for this page

Verify at the official NPI Registry.