Individual
LISA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1026 TWELVE OAKS PL STE A, WATKINSVILLE, GA 30677-4917
(404) 668-1976
Mailing address
316 SPOTTED RIDGE CIR, WOODSTOCK, GA 30188-2625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002374
GA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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