Provider Demographics
NPI:1912417957
Name:EROBU, MARIE C (RDN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:C
Last Name:EROBU
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 WARM SPRINGS RD APT 1520
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-5950
Mailing Address - Country:US
Mailing Address - Phone:251-802-7895
Mailing Address - Fax:
Practice Address - Street 1:4343 WARM SPRINGS RD APT 1520
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5950
Practice Address - Country:US
Practice Address - Phone:251-802-7895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86059083133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered