Individual
TIMOTHY BURBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3295 POPLAR AVE STE 105, MEMPHIS, TN 38111-4690
(901) 725-9055
Mailing address
3295 POPLAR AVE STE 105, MEMPHIS, TN 38111-4690
(901) 725-9055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2938
TN
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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