Individual
SAMARIA GRANDBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2959 ELMORE PARK RD STE 8, BARTLETT, TN 38134-8379
(662) 912-4090
Mailing address
2959 ELMORE PARK RD STE 8, BARTLETT, TN 38134-8379
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12085171
TN
Other
Enumeration date
02/20/2021
Last updated
08/02/2022
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