Individual
STEPHANIE BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
709 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5047
(865) 429-6740
(865) 429-6297
Mailing address
1303 WALTER WEBB DR, APT 704, SEVIERVILLE, TN 37862-5233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1598
TN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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