Provider Demographics
NPI:1285026757
Name:BAUMANN, CHRIS (RD, LD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 FALLING WATER LN
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-8204
Mailing Address - Country:US
Mailing Address - Phone:706-362-6166
Mailing Address - Fax:
Practice Address - Street 1:648 HIGHWAY 334
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30530-5987
Practice Address - Country:US
Practice Address - Phone:706-336-3921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD003439133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered