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Individual

DR. ELIZABETH ANNE CHESAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2800 N DRUID HILLS RD NE STE A100, ATLANTA, GA 30329-3921
(470) 427-3840
(470) 200-2818
Mailing address
3113 PIPER DR, DECATUR, GA 30033-3923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009890
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
582654639A
GA
Enumeration date
03/19/2010
Last updated
11/10/2021
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