Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN SURATT STANBACK, RD,LD,CLC
ActiveELLEN SURATT STANBACK, RD,LD,CLC is a Registered Dietitian healthcare provider located in LITHONIA, Georgia. NPI 1780768663 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · LITHONIA, GA
Registration Details
- NPI Number
- 1780768663
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2006 (19.777070169977 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD001907 (GA)
Practice Information
- Address
-
2277 STONE MOUNTAIN LITHONIA RDLITHONIA, GA, 300585252Browse GA providers · Browse ZIP 30058
- Phone
- 7704842600
- Fax
- 7704843830
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in LITHONIA, GA
| Name | Credential | NPI |
|---|---|---|
| JACQUELINE D LOCKETT | R.D., L.D. | 1699708453 |
| MARSHA DARNELL CANNING | LD | 1437233442 |
| JULIE CARALEE PAYNE | RD, LD | 1306920327 |
| MRS. ANNIE ELIZABETH GIBSON-BOYD | R.D.,L.D. | 1134359797 |
| MS. ANGELA C JACKSON | RD, LD | 1952603623 |
| RICIA TAYLOR | RD/N, LD, CDE | 1134502198 |
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.