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Individual

ELIZABETH DANNER VANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
203 WOODPARK PL, BUILDING C, WOODSTOCK, GA 30188-3705
(770) 926-4150
(770) 926-0594
Mailing address
203 WOODPARK PL, BUILDING C, WOODSTOCK, GA 30188-3705
(770) 926-4150
(770) 926-0594

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005583
GA

Other

Enumeration date
07/28/2009
Last updated
08/27/2012
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