Individual
CRYSTAL LEE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
180 OLD HICKORY BLVD STE L, JACKSON, TN 38305-2500
(731) 661-2763
Mailing address
544 E CHURCH AVE, MEDINA, TN 38355-9763
(731) 217-5601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4139
TN
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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