Individual
DANIELLE ELIZABETH ELBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
902 PONDER PLACE CT, EVANS, GA 30809-3115
(706) 364-3223
Mailing address
4008 PENSACOLA WAY, GROVETOWN, GA 30813-7021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10685
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
02/28/2022
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