Organization
THE NICU DIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KATHERINE CARPENTER MS, RD, CSP, LD, CBS (OWNER)
(334) 740-4500
Entity
Organization
Contact information
Practice address
396 TIMBERLINKS DR, SIGNAL MOUNTAIN, TN 37377-1945
(334) 740-4500
Mailing address
396 TIMBERLINKS DR, SIGNAL MOUNTAIN, TN 37377-1945
(334) 740-4500
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/22/2024
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