Healthcare Provider Details

I. General information

NPI: 1134163884
Provider Name (Legal Business Name): CARRIE D HOHE RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 NEW SHACKLE ISLAND RD SUITE 301C
HENDERSONVILLE TN
37075-2379
US

IV. Provider business mailing address

185 HIDDEN LAKE RD
HENDERSONVILLE TN
37075-5528
US

V. Phone/Fax

Practice location:
  • Phone: 615-338-0313
  • Fax: 615-338-0312
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN0000001424
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: