| Doctor Name: | CAROLYN PATTERSON GILLENWATER |
| NPI Number: | 1588746978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,CNSD |
| License Number: | 372037 |
| Business Practice Address: | James H. Quillen/vamc Corner Of Sidney And Lamont Johnson City, TN - 37684 |
| Business Phone Number: | 4239792928 |
| Business Fax Number: | 4239793402 |
| Mailing Address: | 175 Moore Rd, JONESBOROUGH |
| State: | TN |
| Postal Code: | 376593856 |
| Phone Number: | 4237537211 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 372037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |