Emma Louise Wicks, MS RD LD | |
890 N Houston Levee Rd, Cordova, TN 38018-6614 | |
(901) 593-2513 | |
(901) 757-7980 |
Full Name | Emma Louise Wicks |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 890 N Houston Levee Rd, Cordova, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699432096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 4152 (Tennessee) | Secondary |
133V00000X | Dietitian, Registered | 4152 (Tennessee) | Primary |
Provider Name | Ut Lebonheur Pediatric Specialists, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093024101 PECOS PAC ID: 7719173939 Enrollment ID: O20101130000117 |
Mailing Address | Practice Location Address |
---|---|
Emma Louise Wicks, MS RD LD 8330 Vardon Ln Apt 101b, Cordova, TN 38016-4111 Ph: (615) 305-8110 | Emma Louise Wicks, MS RD LD 890 N Houston Levee Rd, Cordova, TN 38018-6614 Ph: (901) 593-2513 |
Rebecca A Roland, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Germantown Bend Cv, Cordova, TN 38018 Phone: 901-759-9337 Fax: 901-759-7967 | |
Dr. Wendy Bounds Stinson, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 S Walnut Bend Rd, Cordova, TN 38018 Phone: 901-755-8880 Fax: 855-279-6742 | |
Susan Austin Douglas, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Germantown Bend Cv, Cordova, TN 38018 Phone: 901-759-9337 | |
Ms. Hannah Elizabeth Curran, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Germantown Bend Cv, Cordova, TN 38018 Phone: 901-759-9337 | |
Laura Brooks Delahaye, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10480 Latting Rd, Cordova, TN 38016 Phone: 901-581-9530 | |
Ms. Demetra Faye Pratt, RD Dietitian Medicare: Medicare Enrolled Practice Location: 310 Germantown Bend Cv, Ste 101, Cordova, TN 38018 Phone: 901-759-9337 Fax: 901-759-7967 | |
Ms. Leslie P. Schilling, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 Germantown Bend Cv, Suite 101, Cordova, TN 38018 Phone: 901-759-9337 Fax: 901-759-7967 |