Provider Demographics
NPI:1598094476
Name:WOOD, ALANNA RHEA (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:RHEA
Last Name:WOOD
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 1:113 HOLLY LAKES DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-0468
Mailing Address - Country:US
Mailing Address - Phone:478-274-0251
Mailing Address - Fax:
Practice Address - Street 1:113 HOLLY LAKES DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-0468
Practice Address - Country:US
Practice Address - Phone:478-274-0251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002750133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered