Elizabeth B Revilla, MS, RD, LD, CSP - Dietitian in Atlanta, GA

Elizabeth B Revilla, MS, RD, LD, CSP is a Dietitian, Registered - Nutrition, Pediatric based in Atlanta, Georgia. Elizabeth B Revilla is licensed to practice in Georgia (license number LD002723) and her current practice location is 1547 Clifton Rd Ne, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 785-1784.

NPI number for Elizabeth B Revilla is 1265631436 and her current mailing address is 1547 Clifton Rd Ne, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265631436.

Contact Information

Elizabeth B Revilla, MS, RD, LD, CSP
1547 Clifton Rd Ne,
Atlanta, GA 30322-4008
(404) 785-1784
(404) 727-4828

Map and Direction




Healthcare Provider's Profile

Full NameElizabeth B Revilla
GenderFemale
SpecialityDietitian, Registered - Nutrition, Pediatric
Location1547 Clifton Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265631436
  • Provider Enumeration Date: 07/17/2007
  • Last Update Date: 07/17/2007

Medical Identifiers

Medical identifiers for Elizabeth B Revilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265631436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1004XDietitian, Registered - Nutrition, Pediatric LD002723 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth B Revilla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth B Revilla, MS, RD, LD, CSP
1547 Clifton Rd Ne,
Atlanta, GA 30322-4008

Ph: (404) 785-1784
Elizabeth B Revilla, MS, RD, LD, CSP
1547 Clifton Rd Ne,
Atlanta, GA 30322-4008

Ph: (404) 785-1784

Reviews and Comments


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