| Doctor Name: | MS. LESLIE JO ROBERTS |
| NPI Number: | 1962688499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.H., R.D., L.D. |
| License Number: | LD003066 |
| Business Practice Address: | 1109 Burleyson Rd Suite 203 Dalton, GA - 307203094 |
| Business Phone Number: | 7062726079 |
| Business Fax Number: | 6782726053 |
| Mailing Address: | 55 Fran Ln, Apt. #27 RINGGOLD |
| State: | GA |
| Postal Code: | 307362669 |
| Phone Number: | 6785388461 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2008 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD003066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |