Individual
ALICE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D.N.
Contact information
Practice address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(173) 135-2790
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(173) 135-2790
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519690
—
TN
01
—
3380640
GROUP MEDICAID
TN
Enumeration date
07/04/2006
Last updated
10/14/2010
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