Johnson, Elissaveta B

Johnson, Elissaveta B is an sole proprietor health care provider with primary practice located at 601 Dallas Hwy , Villa Rica GA 30180-1202. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Johnson, Elissaveta B can be contacted via phone (770) 456-3249.

Contact Information

Primary practice address
601 Dallas Hwy Villa Rica GA 30180-1202
Fax: (770) 456-3351
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003412 Georgia

Profile Details

NPI number 1134442122
LBN Legal business name Johnson, Elissaveta B
Credentials M. S., R.D., L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2010
Last updated Mar 5th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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