NPI age
19 years
Enumerated 2006-10-25
● Active
Type 1 · Individual
Ellen Suratt Stanback, RD,LD,CLC
Stanback is 1 of 9 dietitian, registered providers in Lithonia and 1 of 1653 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
2277 Stone Mountain Lithonia Rd
Lithonia, GA 300585252
Mailing address
3177 Kensington Rd
Avondale Estates, GA 300021457
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dietitian, registered provider has been added in Lithonia in the last 180 days.
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