Provider Demographics
NPI:1689078131
Name:CLAXTON DIETETIC SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CLAXTON DIETETIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:865-748-0449
Mailing Address - Street 1:6724 ALBUNDA DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4803
Mailing Address - Country:US
Mailing Address - Phone:865-748-0449
Mailing Address - Fax:865-337-5128
Practice Address - Street 1:6724 ALBUNDA DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4803
Practice Address - Country:US
Practice Address - Phone:865-748-0449
Practice Address - Fax:865-337-5128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty