Provider Demographics
NPI:1316611296
Name:WILLIAMS, ELIZABETH ROBINSON (MPH, RDN, LDN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROBINSON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MPH, RDN, LDN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:WOODWARD
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPH, RDN, LDN
Mailing Address - Street 1:688 YORKSHIRE RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3251
Mailing Address - Country:US
Mailing Address - Phone:704-778-8184
Mailing Address - Fax:
Practice Address - Street 1:427 MORELAND AVE NE STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-1586
Practice Address - Country:US
Practice Address - Phone:470-480-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86253579133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered