Dietitian Dish

LBN: Dietitian Dish
Dietitian Dish is an health care organization with primary practice located at 1964 Variations Dr Ne , Atlanta GA 30329-1053. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Dietitian Dish can be contacted via phone (704) 351-1552, or through Ellenberg, Christina via phone (704) 351-1552.

Contact Information

Primary practice address
1964 Variations Dr Ne Atlanta GA 30329-1053
Phone: (704) 351-1552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellenberg, Christina MS, RD, LDN, CSCS
Phone: (704) 351-1552

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1235726845
LBN Legal business name Dietitian Dish
DBA Doing business as
Authorized official Ellenberg, Christina MS, RD, LDN, CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235726845 NPPES
Georgia Other LD004769 LICENSED DIETITIAN

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