Mrs Tammy Faye Peterson, | |
3400 S Crater Rd, Ste.b, Petersburg, VA 23805-9211 | |
(804) 733-6960 | |
(804) 733-3880 |
Full Name | Mrs Tammy Faye Peterson |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 3400 S Crater Rd, Petersburg, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669498390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tammy Faye Peterson, 3400 S Crater Rd, Ste.b, Petersburg, VA 23805-9211 Ph: (804) 733-6960 | Mrs Tammy Faye Peterson, 3400 S Crater Rd, Ste.b, Petersburg, VA 23805-9211 Ph: (804) 733-6960 |
Deborah Vanderpool, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Annette Q King, MS, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Blvd Ste C, Petersburg, VA 23805 Phone: 804-764-7885 Fax: 804-559-6185 |