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Search › Tennessee › 133V00000X

Shannon Wiederholt, RD,LDN,CDE

NPI 1972647287 · on the registry since 2007

Practice

Address
408 N State Of Franklin Rd
Suite#31
Johnson City, TN 37604
Phone
(423) 461-8880
Fax
(423) 461-8887
Organisation at this address
Center For Applied Reproductive Science
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporaiton
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee