Individual
ELIZABETH ANN GILLHAM MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
3955 56TH ST S STE D, FARGO, ND 58104-4845
(701) 417-7500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
856
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55931
—
ND
05
—
56268
—
ND
Enumeration date
10/04/2011
Last updated
02/28/2024
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