Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH B REVILLA, MS, RD, LD, CSP
ActivePediatric Nutrition · ATLANTA, GA
Registration Details
- NPI Number
- 1265631436
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2007 (18.764289400542 yrs)
- Last Updated
- Jul 17, 2007
- License
-
LD002723 (GA)
Practice Information
- Address
-
1547 CLIFTON RD NEATLANTA, GA, 303224008Browse GA providers · Browse ZIP 30322
- Phone
- 4047851784
- Fax
- 4047274828
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| TIFFANY LACHELLE AVERA | — | 1447592985 |
| NICOLE MCGEE SMITH | MS, RD, LD | 1902264153 |
| LYDIA DELBRIDGE WHITE | — | 1659855765 |
| VICTORIA BAIRD | MS, RD, LD | 1144862749 |
| MEREDITH LEIGH JOHNSON | MS, RDN, CSP, LD | 1629603691 |
| NATALIE B HILL | RD | 1699400515 |
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.