MEDICARE: ELIZABETH SCHWARZ R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD003647	GA

General Provider Information

NPI Number	:	1639544596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SCHWARZ R.D.

Provider Business Mailing Address
First Line	:	7450 HUNTERS WOODS DR
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-5626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7450 HUNTERS WOODS DR
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-5626
Country	:	US
Telephone Number	:	402-613-3756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2015
Last Update Date	:	12/03/2015

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