Individual
ELIZABETH WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 PERRY ST, NEWNAN, GA 30263-1974
(788) 542-1006
Mailing address
52 PERRY ST, NEWNAN, GA 30263-1974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN219957
GA
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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