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Individual

ELISABETH OLSEN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2660 SATELLITE BLVD, DULUTH, GA 30096-5803
(404) 785-8330
Mailing address
2660 SATELLITE BLVD, DULUTH, GA 30096-5803
(404) 785-8330

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN234033
GA

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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