Individual
ELIZABETH L HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 991-8000
Mailing address
7541 ELLIOTT DR, JONESBORO, GA 30236-7240
(770) 991-1010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000119787
—
GA
01
—
300019160
RAILROAD MEDICARE
GA
Enumeration date
12/29/2005
Last updated
08/23/2011
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