Individual
MRS. KATIE-LYNN T BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
745 S CHURCH ST, # 501, MURFREESBORO, TN 37130-4984
(615) 594-1138
Mailing address
2017 LIBERTY DR, MURFREESBORO, TN 37129-6673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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