Organization
CASEY PEER NUTRITION CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY DRAKE PEER RD (REGISTERED DIETITIAN OWNER)
(865) 414-7491
Entity
Organization
Contact information
Practice address
1107 MILAM CIRCLE, KNOXVILLE, TN 37919
(865) 414-7491
Mailing address
1107 MILAM CIRCLE, KNOXVILLE, TN 37919
(865) 414-7491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00841
DMRS WAIVER PROVIDER
TN
Enumeration date
03/03/2007
Last updated
02/04/2009
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