Individual
DR. HOLLY MARIE BUNDRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., R.D., L.D.N.
Contact information
Practice address
225 N. WILLOW AVE., WILLOW AVE. PROFESSIONAL COMPLEX, COOKEVILLE, TN 38501
(931) 528-1617
(931) 528-1617
Mailing address
2087 SHIPLEY SCHOOL RD, COOKEVILLE, TN 38501-7722
(931) 528-1617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001650
TN
Other
Enumeration date
03/23/2007
Last updated
09/15/2011
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