Individual
MEGAN ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3080 WILSON RD, DECATUR, GA 30033-1639
(678) 478-0080
Mailing address
3080 WILSON RD, DECATUR, GA 30033-1639
(678) 478-0080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22222222
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN236317
GA
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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