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NPI Code Detail

MEDICARE: TAMMIE ROWE RDN

MEDICARE: TAMMIE ROWE RDN
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 DietitianLD004322GA
2133V00000XRegistered Dietitian2575AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12575OTHERALALABAMA BOARD OF EXAMINERS FOR NUTRITION AND DIETETICS

General Provider Information

NPI Number : 1548652449
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMIE ROWE RDN
Provider Business Mailing Address
First Line : 445 DEXTER AVE
Second Line : SUITE 4050 PMB 109
City : MONTGOMERY
State : AL
Zip : 36104
Country : US
Telephone Number : 334-595-9292
Fax Number : 334-659-1655
Provider Business Practice Location Address
First Line : 445 DEXTER AVE STE 4050
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3867
Country : US
Telephone Number : 334-595-9292
Fax Number : 334-659-1655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2015
Last Update Date : 01/07/2021

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Directions to “ TAMMIE ROWE RDN” Practice Location

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