Individual
MS. JACQUELINE L BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
111 MURPHREE AVE, CENTERVILLE, TN 37033-1418
(931) 729-3516
(931) 729-5029
Mailing address
7574 KING RD, FAIRVIEW, TN 37062-8313
(615) 799-8054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000877
TN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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