Ellen Suratt Stanback, RD,LD,CLC
NPI #1780768663 in Lithonia, Georgia
Provider Information
- NPI Number
- 1780768663
- Entity Type
- Individual
- Name
- Ellen Suratt Stanback, RD,LD,CLC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD,LD,CLC
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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