Individual
MRS. ELIZABETH J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D./L.D.N.
Contact information
Practice address
6252 E STAGE PLZ, BARTLETT, TN 38134-3704
(901) 219-0816
Mailing address
6252 E STAGE PLZ, BARTLETT, TN 38134-3704
(901) 219-0816
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
0000000040
TN
133NN1002X
Nutrition Education Nutritionist
0000000040
TN
133V00000X
Registered Dietitian
Primary
0000000040
TN
Other
Enumeration date
01/15/2015
Last updated
08/21/2015
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