Individual
CANDEE M SPENCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Mailing address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD01461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4101056
BCBS
TN
Enumeration date
04/17/2006
Last updated
07/08/2007
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