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Organization
CORE DIABETES
Active
Organization
CORE DIABETES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY MADZIN MS, RD, CDE, LDN (OWNER)
(423) 598-0170
Entity
Organization
Contact information
Practice address
7921 LONG DRIVE, CHATTANOOGA, TN 37421
(423) 598-0170
Mailing address
7921 LONG DRIVE, CHATTANOOGA, TN 37421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
844622
TN
133VN1006X
Metabolic Nutrition Registered Dietitian
844622
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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