Mcmahan, Courtney Grace
Mcmahan, Courtney Grace is an individual health care provider with primary practice located at 130 Acorn Oaks Cir , Chattanooga TN 37405-2163. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Mcmahan, Courtney Grace can be contacted via phone (423) 463-6139.Contact Information
Primary practice address
130 Acorn Oaks Cir
Chattanooga TN 37405-2163
Phone: (423) 463-6139
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | ||
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
NPI number | 1124663703 |
---|---|
LBN Legal business name | Mcmahan, Courtney Grace |
Credentials | RD, LDN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2019 |
Last updated | Jun 12th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124663703 | NPPES |
Other | 14377510 | CAQH |
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