Individual
CAROLYN PATTERSON GILLENWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CNSD
Contact information
Practice address
JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT, JOHNSON CITY, TN 37684
(423) 979-2928
(423) 979-3402
Mailing address
175 MOORE RD, JONESBOROUGH, TN 37659-3856
(423) 753-7211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
372037
—
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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