Danielle Bach, LD
Individual provider Active NPI Registered Dietitian · Cairo, GA
NPI 1972948263 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1972948263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD004062 (GA)
- Practice address
- 1155 5TH St SE
Cairo, GA 39828-3142 - Phone
- (229) 228-8800
- NPI assigned
- May 1, 2013
- Sex
- Female
- 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 |
|---|---|---|---|
| LD004062 | GA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD004062 | GA | Yes |
Addresses
Primary practice location
1155 5TH St SE
Cairo, GA 39828-3142
Mailing address
1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 377-1150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD004062 | Other | GA | LICENSE |
Other providers in Cairo, GA
- Cherelle L Anderson
- Angels of Grace Community Wellness Center, Inc.
- Archbold Medical Group
- Ronald Clinton Atwater Jr.
- Axis Chiropractic LLC
- Megan Baggett
- Abdul Bari
- Megan Beall
- Casey Sanders Bell
- Annette Bogan
All providers in Cairo, 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 May 1, 2013. 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.