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Individual

MS. ALLI ELAINE REPLOGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1700 HOSPITAL SOUTH DR STE 300, AUSTELL, GA 30106-8116
(770) 283-9230
(678) 581-7170
Mailing address
531 ROSELANE ST NW STE 710, MARIETTA, GA 30060-6975
(678) 331-3297
(678) 581-7187

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10108
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194314443
NPI NUMBER
GA
Enumeration date
01/12/2021
Last updated
07/15/2021
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