Individual
BETSY BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, BC-ADM
Contact information
Practice address
1924 ALCOA HWY, DEPARTMENT OF FAMILY MEDICINE , U-67, KNOXVILLE, TN 37920-1511
(865) 305-9352
Mailing address
1924 ALCOA HWY, DEPARTMENT OF FAMILY MEDICINE , U-67, KNOXVILLE, TN 37920-1511
(865) 305-9352
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
LDN0000000010
TN
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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