Individual
CASEY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 BEVERLY RANDOLPH DR, MURFREESBORO, TN 37129-1895
(502) 762-7467
Mailing address
185 BEVERLY RANDOLPH DR, MURFREESBORO, TN 37129-1895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087009
TN
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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