Individual
MS. ELIZABETH MARY KUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.M.SC., R.D., L.D.
Contact information
Practice address
1364 CLIFTON RD NE, FOOD AND NUTRITION SERVICES, RM FG-06, ATLANTA, GA 30322-1059
(404) 712-7714
Mailing address
1017 VISTAVIA CIR, DECATUR, GA 30033-3411
(404) 634-0186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000168
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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