Individual
MRS. MACEY DIANA ELKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3051 WATSON BLVD STE 525, WARNER ROBINS, GA 31093
(478) 953-4563
(478) 953-4564
Mailing address
3051 WATSON BLVD STE 525, WARNER ROBINS, GA 31093-8556
(478) 953-4563
(478) 953-4564
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN224167
GA
363LA2100X
Acute Care Nurse Practitioner
RN224167
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
NP224167
GA
Other
Enumeration date
11/14/2017
Last updated
03/05/2026
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