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Individual

MRS. JODIE L GREEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
5959 PARK AVE, DIABETES EDUCATION, MEMPHIS, TN 38119-5200
(901) 735-1000
Mailing address
5959 PARK AVE, CLINICAL DIETITIANS OFFICE, MEMPHIS, TN 38119-5200
(901) 735-2800

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
00999735
TN
133V00000X
Registered Dietitian
Primary
00999735
TN

Other

Enumeration date
07/10/2011
Last updated
07/10/2011
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