Individual
ANDREA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 453-1032
Mailing address
PO BOX 4648, SEVIERVILLE, TN 37864-4648
(865) 453-1032
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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