Individual
NAN STANIFER COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
620 DAVIS STREET, TAZEWELL, TN 37879-0183
(423) 626-4291
(423) 626-2525
Mailing address
540 FORDS CHAPEL RD, NEW TAZEWELL, TN 37825-3143
(423) 626-3567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN 320
TN
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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