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Individual

MRS. MICHELLE ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1616 W MAIN ST STE 300, LEBANON, TN 37087-3101
(615) 322-6000
Mailing address
741 STARPOINT DR, GALLATIN, TN 37066-7458
(205) 937-9813

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2875
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2875
LICENSED DIETITIAN/NUTRITIONIST
TN
Enumeration date
10/14/2021
Last updated
10/14/2021
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