Individual
DUSTIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 SHARP AND PERKINS RD, JACKSBORO, TN 37757-2507
(423) 562-8351
Mailing address
162 SHARP AND PERKINS RD, JACKSBORO, TN 37757-2507
(423) 562-8351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
995341
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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