Individual
DEANNA ANTONIA GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
LAMONT ST & VETERANS WAY, JOHNSON CITY, TN 37604
(423) 926-1171
Mailing address
1013 PARHAM PL, KINGSPORT, TN 37660-7237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86198322
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
08/08/2023
Last updated
08/08/2023
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