| Feeding The Root, Llc | |
|
2959 Elmore Park Rd Ste 8 Bartlett TN 38134-8379 | |
| (662) 912-4090 | |
| Not Available |
| Full Name | Feeding The Root, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2959 Elmore Park Rd Ste 8, Bartlett, Tennessee |
| Authorized Official Name and Position | Samaria Donielle Grandberry (DIETITIAN) |
| Authorized Official Contact | 9013511618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Feeding The Root, Llc 2959 Elmore Park Rd Ste 8 Bartlett TN 38134-8379 Ph: (662) 912-4090 | Feeding The Root, Llc 2959 Elmore Park Rd Ste 8 Bartlett TN 38134-8379 Ph: (662) 912-4090 |
| NPI Number | 1801567045 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 0143618736 |
|---|---|
| Medicare Enrollment ID | O20211101002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801567045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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