CAROLYN PATTERSON GILLENWATER

JOHNSON CITY, TN
NPI1588746978
Former NameCAROLYN MARIE PATTERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   372037)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- CAROLYN PATTERSON GILLENWATER RD,CNSD
JAMES H. QUILLEN/VAMC CORNER OF SIDNEY AND LAMONT
JOHNSON CITY, TN 37684
Phone number: 423-979-2928
Mailing Address
-- CAROLYN PATTERSON GILLENWATER RD,CNSD
175 MOORE RD
JONESBOROUGH, TN 37659-3856
Phone number: 423-753-7211
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