Doctor Name: | MR. PATRICK ALLEN WORTMAN |
NPI Number: | 1831268960 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 1614 |
Business Practice Address: | 1100 E 3rd St Suite G100 Chattanooga, TN - 374032201 |
Business Phone Number: | 4236431970 |
Business Fax Number: | 4236432030 |
Mailing Address: | 494 Brook Haven Dr, HIXSON |
State: | TN |
Postal Code: | 373436219 |
Phone Number: | 4238471563 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |