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NPI Code Detail

MEDICARE: BARBARA RANSOM RD

MEDICARE: BARBARA RANSOM RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian4153TN

General Provider Information

NPI Number : 1326703067
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA RANSOM RD
Provider Business Mailing Address
First Line : 7477 COMMONS BLVD APT 110
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2343
Country : US
Telephone Number : 443-752-9046
Fax Number :
Provider Business Practice Location Address
First Line : 6401 SHALLOWFORD RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-5406
Country : US
Telephone Number : 423-893-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2021
Last Update Date : 11/08/2021

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Directions to “ BARBARA RANSOM RD” Practice Location

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