| Benjamin Sisic, RD, LD | |
|
278 Balaban Cir, Woodstock, GA 30188-5150 | |
| (678) 865-9922 | |
| Not Available |
| Full Name | Benjamin Sisic |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 14 Years |
| Location | 278 Balaban Cir, Woodstock, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578241618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD004467 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harmony Nutrition Llc | 7315371127 | 6 |
| Provider Name | Harmony Nutrition LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588127450 PECOS PAC ID: 7315371127 Enrollment ID: O20200103001410 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Sisic, RD, LD 278 Balaban Cir, Woodstock, GA 30188-5150 Ph: (678) 865-9922 | Benjamin Sisic, RD, LD 278 Balaban Cir, Woodstock, GA 30188-5150 Ph: (678) 865-9922 |
Deanna Dae Crismon, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 511 Ragsdale Ter, Woodstock, GA 30188 Phone: 404-729-9415 |
Danielle Rousseau Southern, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 292 Ascott Lane, Woodstock, GA 30189 Phone: 404-324-7500 |
Catherine Tillery Loven, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 132 Mountainside Dr, Woodstock, GA 30188 Phone: 770-509-1344 |
Alec Pienta, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Raven Mocker Ln, Woodstock, GA 30189 Phone: 770-853-2609 |
Marla Stromberg, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 102 Mirramont Lake Dr, Woodstock, GA 30189 Phone: 404-432-6269 |
Miranda Nicole Pendley, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13190 Highway 92 Ste 70-90, Woodstock, GA 30188 Phone: 770-926-9495 |
Revivere Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 514 Silver Maple Ln, Woodstock, GA 30189 Phone: 978-304-2794 |