| Doctor Name: | JOANNE PEREZ-VERGARA |
| NPI Number: | 1609294552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LD |
| License Number: | LD004223 |
| Business Practice Address: | 315 Eisenhower Drive Savannah, GA - 31406 |
| Business Phone Number: | 9123559220 |
| Business Fax Number: | 9123558124 |
| Mailing Address: | 210 East Derenne Avenue, SAVANNAH |
| State: | GA |
| Postal Code: | 31405 |
| Phone Number: | 9124434200 |
| Fax Number: | 9126445260 |
| NPI Enumeration Date: | 03/28/2014 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD004223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |