Individual
ELIZABETH S PATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-6449
(404) 508-7733
Mailing address
5940 BROOKGREEN RD NE, ATLANTA, GA 30328-5206
(404) 303-0327
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
13038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013038
PHARMACIST LICENSE NUMBER
GA
Enumeration date
07/28/2005
Last updated
07/08/2007
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