Individual
SARAH GLYNN MCILVAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TN
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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