Individual
MS. SUSAN MORRILL FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5172
(865) 215-5295
Mailing address
1432 LAKESHIRE DR, KNOXVILLE, TN 37922-5627
(865) 966-6495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000101
TN
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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