Individual
ASHLEY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1410 TUSCULUM BLVD STE 1700, GREENEVILLE, TN 37745-5818
(423) 787-7100
(423) 787-7109
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6567
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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