Search › Georgia › 133VN1004X
Elizabeth Revilla, MS, RD, LD, CSP
NPI 1265631436 · on the registry since 2007
Practice
- Address
- 1547 Clifton Rd Ne
Atlanta, GA 30322 - Phone
- (404) 785-1784
- Fax
- (404) 727-4828
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 133VN1004X
133VN1004X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia