Individual
MRS. PHYLLIS ANN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
(931) 766-1592
Mailing address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
(931) 762-1592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1669
TN
133V00000X
Registered Dietitian
849251
TN
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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