Individual
MRS. CONNIE KAY VOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1437 CENTRAL AVE, 1115, MEMPHIS, TN 38104-4890
(901) 278-3831
(901) 726-1848
Mailing address
1437 CENTRAL AVE, 1115, MEMPHIS, TN 38104-4890
(901) 278-3831
(901) 726-1848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
914
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
HEALTH PLANS
TN
Enumeration date
07/13/2011
Last updated
07/13/2011
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