Individual provider · Type 1 NPI

Ellen Suratt Stanback, RD, LD, CLC

Registered Dietitian · Lithonia, GA

NPI number 1780768663 Active

Practice location

2277 Stone Mountain Lithonia Rd
Lithonia, GA 30058-5252

Call (770) 484-2600 Map

Fax (770) 484-3830

Mailing address

3177 Kensington Rd
Avondale Estates, GA 30002-1457

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD001907 (GA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

14 other providers at this address

Other registered dietitian providers in Lithonia

See all in Lithonia →

About NPI 1780768663

Ellen Suratt Stanback, RD, LD, CLC's National Provider Identifier is 1780768663, issued on Oct 25, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lithonia, GA. The record was last updated on Jul 8, 2007.