Individual
MRS. DONNA C FALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
900 E OAK HILL AVENUE, KNOXVILLE, TN 37917
(865) 545-8300
Mailing address
PO BOX 70406, KNOXVILLE, TN 37938
(865) 922-0406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000618
TN
133V00000X
Registered Dietitian
REG NO 706737
TN
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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