Individual
MS. ERLANGE ELISME ANAXE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 BROCKENHURST DR, BUFORD, GA 30519-4697
(404) 441-1730
Mailing address
3521 BROCKENHURST DR, BUFORD, GA 30519-4697
(404) 441-1730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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