Mrs Susan Marie Locke, RD | |
1603 Shelby Trce, Mount Juliet, TN 37122-3555 | |
(615) 284-2800 | |
(615) 284-2883 |
Full Name | Mrs Susan Marie Locke |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1603 Shelby Trce, Mount Juliet, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093988701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LDN0000001634 (Tennessee) | Primary |
Provider Name | Saint Thomas Medical Partners |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
Mailing Address | Practice Location Address |
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Mrs Susan Marie Locke, RD 1603 Shelby Trce, Mount Juliet, TN 37122-3555 Ph: (615) 284-2800 | Mrs Susan Marie Locke, RD 1603 Shelby Trce, Mount Juliet, TN 37122-3555 Ph: (615) 284-2800 |
Dominique Harris, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Old Pleasant Grove Rd Apt 427, Mount Juliet, TN 37122 Phone: 615-870-8685 | |
Kayla Houser Hussein, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 210 Whitnel Dr, Mount Juliet, TN 37122 Phone: 865-621-4689 | |
Branner Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 Silver Springs Dr, Mount Juliet, TN 37122 Phone: 615-481-3061 |