Individual
LISA STORY GILREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
122 CHURCH RD, CHURCH HILL, TN 37642-5174
(423) 357-3035
(423) 857-7983
Mailing address
122 CHURCH RD, CHURCH HILL, TN 37642-5174
(423) 357-3035
(423) 857-7983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000275
TN
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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