Provider Demographics
NPI:1891050274
Name:COLE, JANIE WILLIAMS (RD, LD)
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:WILLIAMS
Last Name:COLE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:UM NUTRITION CLINIC, NHM DEPT., 110 LENOIR HALL
Mailing Address - City:UNIVERSITY
Mailing Address - State:MS
Mailing Address - Zip Code:38677-1848
Mailing Address - Country:US
Mailing Address - Phone:662-915-8662
Mailing Address - Fax:661-915-8663
Practice Address - Street 1:110 LENOIR HALL, SORORITY ROW
Practice Address - Street 2:UM NUTRITION CLINIC, NHM DEPT., UNIV. OF MS
Practice Address - City:UNIVERSITY
Practice Address - State:MS
Practice Address - Zip Code:38677-1848
Practice Address - Country:US
Practice Address - Phone:662-915-8662
Practice Address - Fax:661-915-8663
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD1011133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered