# ELIZABETH M BOARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740476787
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 042184 | GA | — |
| 174400000X | Specialist | 042184 | GA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 042184 | GA | — |
| 208D00000X | General Practice Physician | 042184 | GA | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 01/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 042184 | GA STATE LICENSE | GA |
