Individual
MISS REBEKAH OLIVIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RDN
Contact information
Practice address
PO BOX 237, GEORGETOWN, TN 37336-0237
(423) 457-0960
Mailing address
PO BOX 237, GEORGETOWN, TN 37336-0237
(423) 457-0960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5058
TN
363A00000X
Physician Assistant
Primary
—
TN
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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