Individual
ANGELA MICHELLE SOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1801 NORTH JACKSON ST, TULLAHOMA, TN 37388
(931) 393-7899
Mailing address
1765 LIBERTY RD, WINCHESTER, TN 37398-3013
(931) 703-1627
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002629
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86044991
CDR NUMBER
TN
Enumeration date
09/09/2017
Last updated
09/09/2017
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