Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emilie Elisabeth Koetter, RDN, LD

Individual provider Registered Dietitian · NPI 1821671256

Emilie Elisabeth Koetter, RDN, LD is a Registered Dietitian in Canton, Georgia. Works from 2 locations. Licensed in Alabama, Georgia and Illinois.

Licensed in
AL, GA, IL
In the registry since
2021
Specialties on file
3
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

704 Woodward Ct
Canton, GA 30114-1501
Phone: (678) 371-1910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 E 12th St Sw, Rome, GA 30161-4720 — (706) 295-6123

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD004598 (GA)
Registered Dietitian Taxonomy 133V00000X · Licence 164.011134 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 2947 (AL)

Record details

NPI number1821671256
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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