Healthcare Provider Details

I. General information

NPI: 1174773840
Provider Name (Legal Business Name): ELIZABETH HOBBS LANGSTON MS, RD, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN HOBBS MS, RD, LDN, CDE

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 HIGHGATE DR SUITE #117
DURHAM NC
27713-6622
US

IV. Provider business mailing address

1600 PERIMETER PARK DR SUITE 225
MORRISVILLE NC
27560-8421
US

V. Phone/Fax

Practice location:
  • Phone: 919-361-2644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL002701
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: