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Individual

DR. ROWENA W ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R624608
MS
163WG0600X
Gerontology Registered Nurse
RN259680
GA
363LA2200X
Adult Health Nurse Practitioner
901572
MS
363LA2200X
Adult Health Nurse Practitioner
Primary
RN259680
GA

Other

Enumeration date
10/31/2016
Last updated
02/01/2018
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