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Organization
CASEY PEER NUTRITION CONSULTANTS
Active
Organization
CASEY PEER NUTRITION CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY DRAKE PEER RD (REGISTERED DIETITIAN OWNER)
(865) 414-7491
Entity
Organization
Contact information
Practice address
1107 MILAM CIRCLE, KNOXVILLE, TN 37919
(865) 414-7491
Mailing address
1107 MILAM CIRCLE, KNOXVILLE, TN 37919
(865) 414-7491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00841
DMRS WAIVER PROVIDER
TN
Enumeration date
03/03/2007
Last updated
02/04/2009
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