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Organization
THE NICU DIETITIAN LLC
Active
Organization
THE NICU DIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KATHERINE CARPENTER MS, RD, CSP, LD, CBS (OWNER)
(334) 740-4500
Entity
Organization
Contact information
Practice address
396 TIMBERLINKS DR, SIGNAL MOUNTAIN, TN 37377-1945
(334) 740-4500
Mailing address
396 TIMBERLINKS DR, SIGNAL MOUNTAIN, TN 37377-1945
(334) 740-4500
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/22/2024
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