MRS. SHANNON WIEDERHOLT, RD,LDN,CDE
Dietitian, Registered
Active
Individual
NPI: 1972647287
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 1075 (TN) |
Frequently Asked Questions
NPI 1972647287 is the National Provider Identifier for MRS. SHANNON WIEDERHOLT, RD,LDN,CDE, a Dietitian, Registered provider located in Johnson City, TN. This NPI was enumerated on February 19, 2007.
MRS. SHANNON WIEDERHOLT, RD,LDN,CDE practices at 408 N STATE OF FRANKLIN RD, SUITE#31, Johnson City, TN 37604.
Quick Facts
- NPI
- 1972647287
- Type
- Individual
- Enumerated
- Feb 19, 2007
- Last Updated
- Jul 8, 2007
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