Individual
HABIDA ELACHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2533 HENDERSON MILL RD NE, ATLANTA, GA 30345-2135
(404) 944-0843
Mailing address
2533 HENDERSON MILL RD NE, ATLANTA, GA 30345-2135
(404) 944-0843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN253871
GA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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