Individual
ELISA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(706) 386-1907
Mailing address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(706) 386-1907
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN041427
GA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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