Individual provider · NPI-1

Ann M Coogle, RD,LD

Dietitian, Registered · Dublin, GA

NPI number1306273537
StatusActive
Last updated in NPPESOct 2, 2013

Details

NPI
1306273537
Entity type
Individual (NPI-1)
Name
Ms. Ann M Coogle
Credential
RD,LD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 2, 2013
Last updated
Oct 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered795GAYes

Practice location

107 Red Fox Run
Dublin, GA 31021-4359

Phone 478-955-5012

Mailing address

107 Red Fox Run
Dublin, GA 31021-4359

Phone 478-955-5012

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dietitian, Registered providers in Dublin, GA