Organization
DR. ELIZABETH A. STREET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN LESKOVEN (OFFICE MANAGER)
(770) 427-0285
Entity
Organization
Contact information
Practice address
574 CHURCH ST NE, MARIETTA, GA 30060-1358
(770) 427-0285
(678) 564-1033
Mailing address
574 CHURCH ST NE, MARIETTA, GA 30060-1358
(770) 427-0285
(678) 564-1033
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032307
GA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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