Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELISSAVETA B JOHNSON, M. S., R.D., L.D.

Active Sole Proprietor

MRS. ELISSAVETA B JOHNSON, M. S., R.D., L.D. is a Registered Dietitian healthcare provider located in VILLA RICA, Georgia. NPI 1134442122 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · VILLA RICA, GA

Registration Details

NPI Number: 1134442122
Provider Type: Individual
Gender: Female
NPI Issued: Mar 5, 2010 (16.40393301761 yrs)
Last Updated: Mar 5, 2010
License: LD003412 (GA)
Sole Proprietor: Yes

Practice Information

Address: 601 DALLAS HWY

VILLA RICA, GA, 301801202
Browse GA providers · Browse ZIP 30180
Phone: 7704563249
Fax: 7704563351
Primary Specialty: Registered Dietitian
133V00000X

Other Registered Dietitian Providers in VILLA RICA, GA

Name	Credential	NPI
MISS JESSICA DENISE MACK	MS, RD, LD	1598972044
MS. ROSALIND PHILLIP	RD	1437346319
MS. SARA ROSE ADDISON	MS, RD, LD	1073139994

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.