Stephanie Susanna Gaston, RDN | |
975 E 3rd St, Chattanooga, TN 37403-2147 | |
(423) 505-4928 | |
Not Available |
Full Name | Stephanie Susanna Gaston |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 975 E 3rd St, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649848466 | NPI | - | NPPES |
86291517 | Other | TN | COMMISSION ON DIETETIC REGISTRATION |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86291517 (Tennessee) | Primary |
Provider Name | Yium, Shenouda & Miller Ptrshp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972548089 PECOS PAC ID: 3274510037 Enrollment ID: O20040630000796 |
Mailing Address | Practice Location Address |
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Stephanie Susanna Gaston, RDN 3520 Burns Trl, Chattanooga, TN 37419-1202 Ph: () - | Stephanie Susanna Gaston, RDN 975 E 3rd St, Chattanooga, TN 37403-2147 Ph: (423) 505-4928 |
Pamela Jean Kelle, RDN, CEDRD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1238 Hanover St, Chattanooga, TN 37405 Phone: 423-991-3422 | |
Olivia Price, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 Phone: 865-209-5525 | |
Ausrine Paulauskaite, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 805 Spears Ave, Chattanooga, TN 37405 Phone: 415-975-1986 | |
Vida Jean Gallaher, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6401 Shallowford Rd, Chattanooga, TN 37421 Phone: 423-893-6500 | |
Courtney Grace Mcmahan, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 Acorn Oaks Cir, Chattanooga, TN 37405 Phone: 423-463-6139 | |
Scenic City Dietetics Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8000 Batters Place Rd, Chattanooga, TN 37421 Phone: 423-240-5182 | |
Mrs. Angela Gross, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 E 3rd St, Chattanooga, TN 37403 Phone: 423-209-8229 |