Provider Demographics
NPI:1629703715
Name:CS BROWN NUTRITIONAL CONSULTANTS
Entity Type:Organization
Organization Name:CS BROWN NUTRITIONAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAGNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:601-807-8570
Mailing Address - Street 1:2478 NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL
Mailing Address - State:MS
Mailing Address - Zip Code:39208-6356
Mailing Address - Country:US
Mailing Address - Phone:601-807-8570
Mailing Address - Fax:
Practice Address - Street 1:2478 NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-6356
Practice Address - Country:US
Practice Address - Phone:601-807-8570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty