Individual
MS. SUZANNE S GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.N.
Contact information
Practice address
109 WALNUT ST, SMYRNA, TN 37167-3219
(615) 838-3888
(615) 459-5540
Mailing address
109 WALNUT ST, SMYRNA, TN 37167-3219
(615) 838-3888
(615) 459-5540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000413
TN
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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