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Organization

FEEDING THE ROOT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMARIA DONIELLE GRANDBERRY (DIETITIAN)
(901) 351-1618
Entity
Organization

Contact information

Practice address
2959 ELMORE PARK RD STE 8, BARTLETT, TN 38134-8379
(662) 912-4090
Mailing address
2959 ELMORE PARK RD STE 8, BARTLETT, TN 38134-8379
(662) 912-4090

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/27/2021
Last updated
08/02/2022
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