person
Elizabeth B Revilla, MS,RD,LD,CSP
Pediatric Nutrition Registered Dietitian in Atlanta, Georgia
NPI 1265631436

Elizabeth B Revilla is a Pediatric Nutrition Registered Dietitian based in Atlanta, GA and is specialized in Nutrition, Pediatric. Elizabeth B Revilla practices in Atlanta, GA and has the professional credentials of MS,RD,LD,CSP. The NPI Number for Elizabeth B Revilla is 1265631436 and holds a License No. LD002723 (Georgia).

The current practice location address for Elizabeth B Revilla is 1547 Clifton Rd Ne, Atlanta, GA and can be reached out via phone at 404-785-1784 and via fax at 404-727-4828.

Location: 1547 Clifton Rd Ne, Atlanta, GA, 30322-4008
person
Provider Profile Details
NPI Number
1265631436
Provider Name
Elizabeth B Revilla
Credential
MS,RD,LD,CSP
Provider Entity Type
Individual
Gender
Female
Address
1547 Clifton Rd Ne, Atlanta, GA, 30322-4008
Phone Number
404-785-1784
Fax Number
404-727-4828
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1547 Clifton Rd Ne
City
State
Zip
30322-4008
Phone Number
404-785-1784
Fax Number
404-727-4828
person
Provider Business Mailing Address Details
Address
1547 Clifton Rd Ne
City
State
Zip
30322-4008
Phone Number
404-785-1784
Fax Number
404-727-4828
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
License No.
LD002723 (Georgia)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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