ESLEEN WILSON


Address: 4520 N River Dr, Cumming, GA 30041-9463
Phone: 7705190004

ESLEEN WILSON (NPI# 1588210959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588210959
Entity Type Individual
Full Name ESLEEN WILSON
Practice Address 4520 N River Dr
Cumming
GA 30041-9463
Practice Telephone 7705190004
Mailing Telephone 7705190004
Enumeration Date 2019-08-12
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1012391 GA Dietary & Nutritional Service Providers

Office Location

Street Address 4520 N RIVER DR
City CUMMING
State GA
Zip Code 30041-9463

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1962036905 Annie Kyungjin Han Nurse Practitioner 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 2020-02-28
1295388197 Pamela Edler Pharmacist 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 2019-07-19
1720557127 Dr. Tiffany Lamonde LLC Physical Therapist 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 2018-11-15
1487140893 Bhbd LLC Chiropractor 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 2018-07-09
1891219861 Anna Gawrys Pharmacist 1525 Marketplace Blvd, Cumming, GA 30041 2017-08-01
1679029219 Square One Dental LLC Clinic/Center 3510 Rowe Lane, Cumming, GA 30041 2016-09-01
1720441454 Pavilion Psychological Services LLC Psychologist 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 2016-03-31
1346606506 American Health Imaging of Ga, LLC Clinic/Center 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 2016-01-04
1013311307 Stephen Hartle Physician Assistant 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 2014-10-15
1063828408 Stephanie Evans Wellborn Physician Assistant 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 2014-07-07
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386279073 Dietitian Alliance LLC Dietitian, Registered 4360 Belcrest Way, Cumming, GA 30040-1417 2020-03-03
1477027316 Kristen Kanner Dietitian, Registered 8915 Balfern Ct, Cumming, GA 30041-8096 2019-01-14
1427550664 Marilyn Wright Yon Dietitian, Registered 6505 Calamar Dr, Cumming, GA 30040-7647 2018-03-04
1275044349 Karen L Hunter Dietitian, Registered 5950 Ashbury Ln, Cumming, GA 30028-5993 2017-10-17
1962876276 Julie Parish Dietitian, Registered 2855 Pine Slope Dr, Cumming, GA 30041-6221 2015-11-24
1972822328 Jennifer Deluca Dietitian, Registered 5175 Stonehaven Vw, Cumming, GA 30040-0575 2010-05-25
1134371586 Gelsie F Lessig Dietitian, Registered 6145 Polo Club Dr, Cumming, GA 30040-5714 2008-10-16
1255524773 Melissa S Berman Dietitian, Registered 5485 Linger Longer Rd, Cumming, GA 30041-9091 2007-08-20
1124532494 Julie Elizabeth Newton Dietitian, Registered 2450 Atlanta Hwy Ste 1403, Cumming, GA 30040-1277 2017-11-25
1477918928 Jennifer Deluca Nutrition Dietitian, Registered 5175 Stonehaven Vw, Cumming, GA 30040-0575 2015-12-29
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Competitor

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City CUMMING
Zip Code 30041

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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