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Organization

RADIANT NUTRITION, LLC

Active
Other names
Radiant Nutrition
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY PRATT PHD, RDN, LDN (SOLE MEMBER)
(865) 585-2677
Entity
Organization

Contact information

Practice address
705 GATE LN STE 202, KNOXVILLE, TN 37909-3521
(865) 585-2677
Mailing address
11111 OAK HOLLOW RD, KNOXVILLE, TN 37932-1924
(865) 585-2677

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801270319
NPI
TN
Enumeration date
02/11/2021
Last updated
03/27/2021
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