Individual
THERESA ANN AVERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
979 E 3RD ST, SUITE B-1111, CHATTANOOGA, TN 37403-2136
(423) 778-7036
(423) 778-7832
Mailing address
979 E 3RD ST, SUITE B-1111, CHATTANOOGA, TN 37403-2136
(423) 778-7036
(423) 778-7832
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LDN0000001178
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3881168
—
TN
Enumeration date
03/13/2007
Last updated
07/08/2007
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