Individual
MARY PATE-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.L.C.
Contact information
Practice address
1310 UNIVERSITY AVE, SEWANEE, TN 37375-2336
(931) 636-8669
Mailing address
692 HAT ROCK RD, SEWANEE, TN 37375-2149
(931) 636-8669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3154
TN
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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