Individual
ELIZABETH ANN SISSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
121 RUBICON RD, PEACHTREE CITY, GA 30269-2850
(678) 469-4823
Mailing address
121 RUBICON RD, PEACHTREE CITY, GA 30269-2850
(678) 469-4823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004766
GA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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