Individual
MRS. CYNTHIA SUE, BATA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1010 HILLTOP RD, WHITE HOUSE, TN 37188-9401
(615) 509-8672
(615) 672-3494
Mailing address
1010 HILLTOP RD, WHITE HOUSE, TN 37188-9401
(615) 509-8672
(615) 672-3494
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000263
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00958
—
TN
Enumeration date
04/02/2007
Last updated
07/09/2007
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