Organization
EAST TN NUTRITION AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL CAMERON RD, LDN (REGISTERED DIETITIAN/OWNER)
(865) 712-4428
Entity
Organization
Contact information
Practice address
200 PROSPERITY DR, KNOXVILLE, TN 37923-4718
(865) 290-0110
(865) 290-0140
Mailing address
3420 NEW CORINTH RD, BLAINE, TN 37709-5623
(865) 712-4428
(865) 290-0140
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/24/2022
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