IndividualActive
Gwendolyn Hall, DTR
NPI 1174355796 · Registered Dietetic Technician · Memphis, TN
Provider details
- NPI number
- 1174355796
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
Approximate (ZIP-level) locationGet directions
Mailing address
1030 Jefferson Ave
Memphis, TN 38104-2127
Registry dates
- Enumerated
- 2024-08-14
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.