Individual
MIGUEL A MENDIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD,LDN
Contact information
Practice address
500 COLES FERRY RD, GALLATIN, TN 37066-6215
(931) 252-5877
Mailing address
500 COLES FERRY RD, GALLATIN, TN 37066-6215
(931) 252-5877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
272978
KY
133V00000X
Registered Dietitian
3210
TN
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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