Individual
ELIZABETH IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322
(404) 778-8311
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-8311
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006537
GA
Other
Enumeration date
03/22/2012
Last updated
08/15/2019
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