Individual
JUDY CAROL MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDE
Contact information
Practice address
326 SHASTEEN HOLLOW RD, LYNCHBURG, TN 37352-5954
(931) 759-4443
Mailing address
326 SHASTEEN HOLLOW RD, LYNCHBURG, TN 37352-5954
(931) 759-4443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
540
TN
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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