Provider Demographics
NPI:1518256478
Name:DYESS, AIMEE L (MS, RDN, LD, CDE)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:L
Last Name:DYESS
Suffix:
Gender:F
Credentials:MS, RDN, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7273 AVENTINE WAY APT 308
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4170
Mailing Address - Country:US
Mailing Address - Phone:707-322-6494
Mailing Address - Fax:
Practice Address - Street 1:979 E 3RD ST STE C620
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3333
Practice Address - Country:US
Practice Address - Phone:423-778-2906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered