Provider Demographics
NPI:1851531891
Name:JAMES, TAMMETH LYNN (RD)
Entity Type:Individual
Prefix:
First Name:TAMMETH
Middle Name:LYNN
Last Name:JAMES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 FENNELL RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261-8651
Mailing Address - Country:US
Mailing Address - Phone:931-802-3070
Mailing Address - Fax:
Practice Address - Street 1:998 FENNELL RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-8651
Practice Address - Country:US
Practice Address - Phone:931-802-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000838133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered