Provider Demographics
NPI:1437454204
Name:EMERY, DEE ANN (RD)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:ANN
Last Name:EMERY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660225
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-0225
Mailing Address - Country:US
Mailing Address - Phone:205-585-0694
Mailing Address - Fax:205-585-0694
Practice Address - Street 1:9410 OLD GREENSBORO RD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-8657
Practice Address - Country:US
Practice Address - Phone:205-218-8862
Practice Address - Fax:205-585-0694
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1256133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered