Individual
SAMANTHA SANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RDN, LDN
Contact information
Practice address
6 CENTRE CT, PALMYRA, VA 22963-2329
(412) 215-9428
Mailing address
720 MOUNT VERNON AVE, CHATTANOOGA, TN 37405-2935
(412) 215-9428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5274
TN
133V00000X
Registered Dietitian
ND8516
FL
Other
Enumeration date
04/25/2017
Last updated
05/02/2025
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