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ROBERT ANELLO RD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1174043590
Individual Registrant: ROBERT ANELLO RD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
915 GORDON AVE THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2442 Fax: --
Tel: 229-228-2442 Fax: --
Contact information for business:
2801 CHANCELLORSVILLE DR APT 323 TALLAHASSEE, FL 32312-4817 US
Tel: 513-728-9495 Fax: --
Tel: 513-728-9495 Fax: --
Registration Information:
NPI: 1174043590
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | 1104928 | |
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | GA | 004899 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
