Melinda Wiley Bayless, R.D.

Individual provider Active NPI Registered Dietitian · Spartanburg, SC

NPI 1992917280 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992917280
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
128 Dillon Dr
Spartanburg, SC 29307-1018
Phone
(864) 327-1212
Fax
(864) 327-1210
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

128 Dillon Dr
Spartanburg, SC 29307-1018

Mailing address

530 Ethel Jackson CT
Spartanburg, SC 29316-5769
Phone (864) 599-7030

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Registered Dietitian in South Carolina

Sources for this page

Verify at the official NPI Registry.