Individual
ALICE WHITTAKER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
861 W JAMES CAMPBELL BLVD, COLUMBIA, TN 38401-4668
(931) 698-9726
Mailing address
1955 UNION PL APT C50, COLUMBIA, TN 38401-5906
(931) 698-9726
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN 2151
TN
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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