Elizabeth B Revilla in Atlanta - Nutrition, Pediatric
Elizabeth B Revilla - NPI 1265631436
Elizabeth B Revilla is a Nutrition, Pediatric in Atlanta, Georgia. Elizabeth B Revilla practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Elizabeth B Revilla is 1265631436. The last update date is 2007-07-17.
Elizabeth B Revilla's current location address is 1547 Clifton Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4047851784 and fax number 4047274828. The mailing address for Elizabeth B Revilla is 1547 Clifton Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth B Revilla |
|---|---|
| Address | 1547 Clifton Rd Ne, Atlanta, Georgia |
| Phone Number | 4047851784 |
| Fax Number | 4047274828 |
| Sole Proprietor | N |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1265631436 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 1547 Clifton Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303224008 |
| Phone Number | 4047851784 |
| Fax Number | 4047274828 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | LD002723 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the Elizabeth B Revilla's 1265631436?
The Elizabeth B Revilla's NPI (National Provider Identifier) Number is 1265631436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elizabeth B Revilla is located?
The Elizabeth B Revilla is situated at the following address: 1547 Clifton Rd Ne, Atlanta, GA, 303224008.
What is Elizabeth B Revilla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elizabeth B Revilla is Nutrition, Pediatric, and the taxonomy classification code that categorizes this area of expertise is 133Vn1004X.
On what date did Elizabeth B Revilla receive its 1265631436 assignment from the Centers for Medicare & Medicaid Services?
The Elizabeth B Revilla was assigned its 1265631436 on 2007-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Elizabeth B Revilla most recently updated or revised?
The information pertaining to Elizabeth B Revilla, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-17.
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