Individual
MRS. ELIZABETH K MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
340 KENNESTONE HOSPITAL BLVD, SUITE 200, MARIETTA, GA 30060-1152
(770) 281-5100
(678) 581-7100
Mailing address
531 ROSELANE ST NW, SUITE 710, MARIETTA, GA 30060-6913
(678) 331-3302
(678) 581-7187
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215299953
NPI NUMBER
GA
Enumeration date
06/08/2012
Last updated
12/18/2013
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