Georgianna Faye Elliott, REGISTERED DIETITIAN
NPI #1124180625 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1124180625
- Entity Type
- Individual
- Name
- Georgianna Faye Elliott, REGISTERED DIETITIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- REGISTERED DIETITIAN
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Oct 31, 2018
Practice Location
- Address
- 3525 MONTEREY DR
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-5275
- Phone
- (952) 993-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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