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Individual

JAIMIE GEORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354-5148
(423) 442-5934
Mailing address
820 FAIRFAX AVE, KNOXVILLE, TN 37917-3003

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000
TN
Enumeration date
05/22/2018
Last updated
05/22/2018
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