Individual
ERIN ELISEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05148
NC
363A00000X
Physician Assistant
Primary
6848
GA
Other
Enumeration date
06/17/2013
Last updated
05/05/2022
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