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Individual

ELISSA BOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
592 LITTLE RD SE, MARIETTA, GA 30067-7157

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
198570
GA

Other

Enumeration date
03/28/2022
Last updated
03/28/2022
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