Doctor Name: | MISS PERRIN LEANNE TAMBLYN |
NPI Number: | 1689069551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | 2525 |
Business Practice Address: | 55 Midtown Park E Mobile, AL - 366064141 |
Business Phone Number: | 2512812094 |
Business Fax Number: | |
Mailing Address: | 2129 Dorchester Dr, MOBILE |
State: | AL |
Postal Code: | 366952920 |
Phone Number: | 2516892287 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |