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Individual

ELIZABETH W MURAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5218 JIMMY LEE SMITH PKWY STE 100, HIRAM, GA 30141-2747
(770) 439-1038
Mailing address
2000 VIEW DR UNIT 2201, WOODSTOCK, GA 30189-5355
(678) 678-1821

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
11410
TN
1223G0001X
General Practice Dentistry
11410
TN
1223G0001X
General Practice Dentistry
Primary
DN016126-T
GA

Other

Enumeration date
08/17/2020
Last updated
09/03/2020
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