Healthcare Provider Details

I. General information

NPI: 1922697051
Provider Name (Legal Business Name): MEAGAN ELIZABETH BILLER MS, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GLENLAKE PKWY STE 120
ATLANTA GA
30328-7270
US

IV. Provider business mailing address

50 GLENLAKE PKWY STE 120
ATLANTA GA
30328-7270
US

V. Phone/Fax

Practice location:
  • Phone: 800-736-3739
  • Fax: 770-671-8508
Mailing address:
  • Phone: 800-736-3739
  • Fax: 770-671-8508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD005264
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: