Individual
ELIZABETH GEORGANNA COGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, IBCLC
Contact information
Practice address
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 771-5500
(828) 771-5454
Mailing address
20 RIDGE CROSS RD, ASHEVILLE, NC 28805-9277
(828) 298-6965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000698
NC
174N00000X
Lactation Consultant (Non-RN)
192-10865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L000698
NC BOARD OF DIETETICS/NUT
NC
Enumeration date
10/20/2006
Last updated
03/15/2016
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