| Doctor Name: | ALI ELLIOTT |
| NPI Number: | 1477930857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LD |
| License Number: | 964618 |
| Business Practice Address: | 2925 Virginia Rd Mountain Brk, AL - 352231253 |
| Business Phone Number: | 2057041641 |
| Business Fax Number: | |
| Mailing Address: | 2925 Virginia Rd, MOUNTAIN BRK |
| State: | AL |
| Postal Code: | 352231253 |
| Phone Number: | 2057041641 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2015 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 964618 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |