Individual
SUSAN TESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-7475
(205) 638-7995
Mailing address
6470 WOMACK RD, PINSON, AL 35126-3176
(205) 681-5093
(205) 638-7995
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
114
AL
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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