Individual
MRS. ELISA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN LDN
Contact information
Practice address
229 N GREENE ST, GREENSBORO, NC 27401-2410
(336) 601-6287
Mailing address
2941 BATTLEGROUND AVE UNIT 39194, GREENSBORO, NC 27438-1004
(336) 601-6287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004938
NC
Other
Enumeration date
11/14/2017
Last updated
11/15/2018
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