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Individual

ELIZABETH VERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3970 DEPUTY BILL CANTRELL MEM # 150, CUMMING, GA 30040-3069
(770) 781-8004
Mailing address
3970 DEPUTY BILL CANTRELL MEM # 150, CUMMING, GA 30040-3069
(770) 781-8004

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11223
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/28/2021
Last updated
02/15/2024
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