Individual
MS. ERICA BROOKE EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 HOWELL MILL ROAD NW, SUITE 450, ATLANTA, GA 30318-2508
(404) 355-4393
(678) 412-0086
Mailing address
1800 HOWELL MILL ROAD NW, SUITE 450, ATLANTA, GA 30318-2508
(404) 355-4393
(678) 412-0086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8296
GA
Other
Enumeration date
03/14/2017
Last updated
02/02/2018
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