Robert Anello, RD
Individual provider Active NPI Registered Dietitian · Thomasville, GA
NPI 1174043590 · NPPES record last updated Jun 27, 2017
Key facts
- NPI
- 1174043590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 004899 (GA)
- Practice address
- 915 Gordon Ave
Thomasville, GA 31792-6614 - Phone
- (229) 228-2442
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004899 | GA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1104928 | ||
| Registered Dietitian | 133V00000X | 004899 | GA | Yes |
Addresses
Primary practice location
915 Gordon Ave
Thomasville, GA 31792-6614
Mailing address
2801 Chancellorsville Dr Apt 323
Tallahassee, FL 32312-4817
Phone (513) 728-9495
Other providers in Thomasville, GA
- Kenneth Daniel Anders
- Atlemisia M Anderson
- Rachel Anderson
- Talia Montoya Anderson
- George Andrews
- Ankle & Foot Specialist
- Arc House of Elavation
- Arc House of Elavation Inc of Thomasville
- Archbold Health Services, Inc.
- Archbold Health Services, Inc.
All providers in Thomasville, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.