Provider Demographics
NPI:1174350250
Name:LINDSEY, EMILY (MED, RD, LD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MED, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 ROLAND HAYES PKWY NW
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-6103
Mailing Address - Country:US
Mailing Address - Phone:256-504-4376
Mailing Address - Fax:
Practice Address - Street 1:845 ROLAND HAYES PKWY NW
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-6103
Practice Address - Country:US
Practice Address - Phone:256-504-4376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD004810133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered