Individual
ELLEN SURATT STANBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CLC
Contact information
Practice address
2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058-5252
(770) 484-2600
(770) 484-3830
Mailing address
3177 KENSINGTON RD, AVONDALE ESTATES, GA 30002-1457
(404) 299-1150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001907
GA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us