Most Relevant Information
Provider Data
| NPI Number: | 1003220237 |
| Provider Name: | CHRISTINA LEVERT |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 2153 |
Most Important Dates
| Enumeration Date: | 06/16/2014 |
| Last Updated: | 06/16/2014 |
Provider Practice Location
1000 WASHINGTON ST W STE A
FAYETTEVILLE
TN
373342872
Practice Location Phone/Fax
| Phone: | 9314333231 |
| Fax: | 9314381567 |
Provider Mailing Location
1000 WASHINGTON ST W STE A
FAYETTEVILLE
TN
373342872
Provider Mailing Phone/Fax
| Phone: | 9314333231 |
| Fax: | 9314381567 |