Provider Demographics
NPI:1457996456
Name:BATTLE, ELIZABETH BENEFIELD (RDN,CSO,LD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BENEFIELD
Last Name:BATTLE
Suffix:
Gender:F
Credentials:RDN,CSO,LD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ARLENE
Other - Last Name:BENEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:3275 RIVERHILL CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-2804
Mailing Address - Country:US
Mailing Address - Phone:334-791-4186
Mailing Address - Fax:
Practice Address - Street 1:993 JOHNSON FERRY RD STE D250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1646
Practice Address - Country:US
Practice Address - Phone:404-236-8036
Practice Address - Fax:404-236-8051
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD004433133VN1301X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology