Individual
MRS. ELIZABETH LOCKERMAN ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 MEDICAL DRIVE NE SUITE 101, CARTERSVILLE, GA 30121
(770) 386-5221
(770) 386-1128
Mailing address
15 MEDICAL DRIVE NE SUITE 101, CARTERSVILLE, GA 30121
(770) 386-5221
(770) 386-1128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002400
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107289A
—
GA
05
—
003107289D
—
GA
Enumeration date
07/19/2006
Last updated
06/26/2023
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