Sara-grace Katherine Long, | |
2100 Exeter Rd, Germantown, TN 38138-3966 | |
(901) 701-5540 | |
Not Available |
Full Name | Sara-grace Katherine Long |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2100 Exeter Rd, Germantown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700585122 | NPI | - | NPPES |
174671 | Other | BAPTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Baptist Memorial Medical Group, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385 |
Mailing Address | Practice Location Address |
---|---|
Sara-grace Katherine Long, 2078 Standing Rock Ave, Collierville, TN 38017-7908 Ph: (901) 848-2202 | Sara-grace Katherine Long, 2100 Exeter Rd, Germantown, TN 38138-3966 Ph: (901) 701-5540 |
Mrs. Joan C Connor, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9933 S Houston Way, Germantown, TN 38139 Phone: 901-853-6705 Fax: 901-853-0463 | |
Katherine Marie Cabrera, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8722 Stirling Ln, Germantown, TN 38139 Phone: 954-805-7446 | |
Jennifer Wallace, Dietitian Medicare: Medicare Enrolled Practice Location: 2100 Exeter Rd, Germantown, TN 38138 Phone: 901-757-1350 Fax: 901-757-3496 | |
French Gray Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1794 Oak Hill Rd, Germantown, TN 38138 Phone: 901-489-6912 | |
Louise G Jacobson, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6567 Poplar Woods Cir S, # 1, Germantown, TN 38138 Phone: 901-755-6785 | |
Jennifer Dawn Reed, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2100 Exeter Rd, Germantown, TN 38138 Phone: 901-757-1350 Fax: 901-757-3496 | |
Jacquelyn Adams, BS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2100 Exeter Rd, Germantown, TN 38138 Phone: 901-757-1350 Fax: 901-757-3496 |