Individual
ELIZABETH SMITH ELMADOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1515 RIVER PL STE 200, BRASELTON, GA 30517-5603
(770) 848-6140
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN184607
GA
Other
Enumeration date
04/07/2020
Last updated
05/17/2023
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