Organization
DOROTHEA SARLI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHEA SARLI RD (OWNER)
(423) 902-3008
Entity
Organization
Contact information
Practice address
5750 EDGMON RD, OOLTEWAH, TN 37363-6854
(423) 902-3008
Mailing address
PO BOX 38, COLLEGEDALE, TN 37315-0038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3276
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386130821
NPI TYPE 1
TN
Enumeration date
07/10/2018
Last updated
07/18/2019
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