MEDICARE: ALLISON TALLMAN MS RDN CNSC LDN

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
1	133V00000X	Registered Dietitian	164006850	IL

General Provider Information

NPI Number	:	1831601855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON TALLMAN MS RDN CNSC LDN

Provider Business Mailing Address
First Line	:	2154A ROCK CITY ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-3937
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2154A ROCK CITY ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-3937
Country	:	US
Telephone Number	:	774-437-1169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	10/05/2021

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