Individual
MILLICENT RUNNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
842 SHADDEN RD, JOHNSON CITY, TN 37615-4239
(423) 262-3061
Mailing address
842 SHADDEN RD, GRAY, TN 37615-4239
(423) 262-3061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86373357
TN
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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