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Individual

ROSALIND ELAINE ELEBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 N 8TH ST, GRIFFIN, GA 30223-3001
(678) 833-6854
(678) 519-5783
Mailing address
118 N 8TH ST, GRIFFIN, GA 30223-3001
(678) 833-6854
(678) 519-5783

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9019
GA
174400000X
Specialist

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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