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Individual

DR. ELIZABETH KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3450 ACWORTH DUE WEST RD NW, BLDG. 300, SUITE 310, KENNESAW, GA 30144-1001
(770) 974-7494
(770) 974-9141
Mailing address
410 CANDLER PARK DR NE, UNIT E1, ATLANTA, GA 30307-2142
(404) 433-5825

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8891
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
393730
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/10/2007
Last updated
03/11/2008
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