Individual
MRS. MADDEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CNSC
Contact information
Practice address
2100 CLINCH AVE STE 510, KNOXVILLE, TN 37916-2225
(865) 546-3998
Mailing address
1324 WILLMANN LN, KNOXVILLE, TN 37919-8147
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2836
TN
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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