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Individual

DR. ELIZABETH WADSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MSCR

Contact information

Practice address
960 JOHNSON FY RD NE STE 200, ATLANTA, GA 30342-1601
(404) 943-0900
Mailing address
960 JOHNSON FY RD NE, ATLANTA, GA 30342-1631
(404) 943-0900

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
104648
GA
390200000X
Student in an Organized Health Care Education/Training Program
GA

Other

Enumeration date
08/01/2019
Last updated
07/29/2025
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