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Individual

ELIZABETH KIM LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDMS

Contact information

Practice address
6035 PEACHTREE RD STE C218, DORAVILLE, GA 30360-3240
(678) 833-2433
(678) 607-9301
Mailing address
6035 PEACHTREE RD STE C218, DORAVILLE, GA 30360-3240
(678) 833-2433
(678) 607-9301

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
169738
GA
293D00000X
Physiological Laboratory
169738
GA

Other

Enumeration date
07/11/2023
Last updated
01/11/2024
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